ES Benefit Specialist 3: LCD Quality Assurance/Internal Only-Dual Language-Spanish
About The Position
The ES Benefits Specialist 3 – Quality Assurance Specialist reviews Paid Family and Medical Leave (PFML) casework for accuracy, completeness, and compliance with state and federal requirements. The role evaluates eligibility factors and supporting evidence, makes determinations, and helps ensure accurate, timely, and equitable benefits for Washington workers and families. This is a dual-language position requiring effective communication in Spanish in person, by telephone, and in writing. The position is mainly virtual, with occasional office attendance for trainings and meetings as requested. The specialist identifies trends, gaps, and error patterns in casework and communicates findings and recommendations to managers, operations process coordinators, supervisors, trainers, and operational partners. The role contributes to improvements in program processes, training, policy understanding, and consistent compliance, collaborating with teams including Training, Policy, Appeals, and Compliance. The position also supports Leave and Care Operations through trainings, meetings, special projects, assignments, and assistance or backup for staff as needed or directed. Applicants must pass an Unemployment Insurance and Paid Family Medical and Leave claim and fraud check. The announcement is open only to internal Employment Security Department employees.
Requirements
- Must be an internal Employment Security Department employee.
- Must communicate effectively in person, via telephone, and in writing in Spanish.
- Must pass an Unemployment Insurance (UI) and Paid Family Medical and Leave (PFML) claim and fraud check.
- Meet one of the stated education and experience pathways: six years of equivalent education/experience; one year as an ES Benefits Specialist 2; one year of experience equivalent to ES Benefits Specialist 2 with another state administering tax programs; an associate’s degree in a listed or related field and four years of required experience; a bachelor’s degree in a listed or related field and two years of required experience; or a master’s degree in a listed or related field and one year of required experience.
- Required experience includes the ability to assess and ensure casework accuracy; proficiency conducting thorough casework evaluations; ability to communicate audit findings effectively; proficiency navigating complex claim matters; and ability to recommend procedural improvements.
- Required equity competencies: ability to take action to learn and grow, and ability to take action to meet the needs of others.
Responsibilities
- Analyze and evaluate assigned case records for completeness and correctness.
- Coordinate, plan, and conduct quality assurance reviews of Leave and Care Specialist work, evaluating results for compliance with state laws, regulations, and policies.
- Make definitive determinations regarding program eligibility, timelines, accuracy, completeness, and compliance.
- Identify performance or quality improvement areas and make recommendations to managers, operations process coordinators, supervisors, and trainers.
- Prepare comprehensive reports of findings and conclusions.
- Recommend strategies and program or process changes to maintain consistent compliance and reduce errors.
- Recommend training opportunities and identify knowledge gaps.
- Attend trainings, unit meetings, and all-staff meetings.
- Complete special projects and assignments as assigned.
- Assist or provide backup to staff as needed or directed.
- Communicate effectively in Spanish in person, by telephone, and in writing.
Benefits
- Flexible work schedules and teleworking opportunities may be available for many positions.
- Employees are supported in growing and developing professionally.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
