ELIGIBILITY SPECIALIST II - 60065933

State of Florida•Kissimmee, FL

About The Position

This is professional work determining initial and ongoing eligibility for social service programs. The position reviews and analyzes error-prone and complex cases to evaluate service quality, trains and mentors staff, and plans, evaluates, leads, and guides staff. Work also includes establishing overpayment and over-issuance claims, conducting fraud investigations for public assistance programs, and referring clients to appropriate community resources and providers. The role involves interviewing applicants and clients, assisting them with eligibility documentation, verifying information, reviewing applications and supporting documents, and making eligibility determinations. It also involves maintaining accurate case records, using computer systems to manage information, applying relevant laws and policies, and collaborating with staff and community partners.

Requirements

Knowledge of public assistance program objectives and policies.
Knowledge of problem-solving techniques, training principles and practices, goal-setting techniques, and arithmetic.
Skill in operating a personal computer.
Basic knowledge of Microsoft Excel.
Ability to conduct fact-finding interviews and accurately prepare and maintain records and reports.
Ability to work with a diverse range of people, adapt to change, and deal calmly and effectively in high-stress situations.
Ability to compose documents or correspondence involving technical information and perform complex arithmetic operations.
Ability to interpret and apply regulatory materials, prioritize work, and meet deadlines.
Ability to establish and maintain effective working relationships, communicate effectively orally, and apply ethical business practices.
A bachelor's degree from an accredited college or university and two years of professional experience determining eligibility for social insurance or social service programs; or a master's degree and one year of such experience.
Paraprofessional experience in eligibility determination, investigations, interviewing, counseling, recruitment, claims taking, or claims examining in a social insurance or social service program may substitute year-for-year for the required college education.

Responsibilities

Conduct interviews to collect or update personal information about applicants, clients, and household members.
Assist applicants and clients in clarifying and obtaining documentation needed to establish eligibility, including reviewing documents for validity.
Initiate collateral contacts to verify information provided by applicants and clients.
Review forms, applications, documents, and other information to make eligibility determinations.
Obtain documentation, certification, or approval needed to support case actions.
Use computer systems and software applications to access, create, edit, print, send, retrieve, and manage data and files.
Provide applicants and clients with information about department and community assistance programs and make appropriate referrals.
Plan, evaluate, guide, and coach staff; provide staff training and mentoring as appropriate.
Conduct fraud investigations and recommend appropriate action.
Review and analyze error-prone and complex cases to assist entry-level staff.
Maintain working knowledge of relevant laws, regulations, policies, standards, and procedures.
Collect, compile, organize, and verify data; reconcile errors or inconsistencies.
Explain or justify decisions, conclusions, findings, or recommendations.
Maintain or update information and records to ensure accurate case files.
Recommend improvements, solve problems, and take corrective action when issues arise.
Use prescribed mathematical and statistical formulas, schedules, tables, or procedures in eligibility determinations.
Collaborate with others or work on teams to determine appropriate actions and recommend improvements or solutions.
Complete forms, documents, routine reports, and simple correspondence; retrieve, file, and transfer records or information.
Perform other related work as required.