HFB Assessor

Government of Alberta•Edmonton, AB

8d•CA$59,137 - CA$74,827•Onsite

About The Position

The Ministry of Assisted Living and Social Services leads income, employment, disabilities and community-based supports, family violence prevention, and family & community support services. The Common Service Delivery (CSD) branch holds expertise in delivery of centralized, citizen centered services, including contact centre and benefit administration services. CSD delivers centralized services on behalf of other program areas within ALSS as well as other ministries across the Government of Alberta and the Government of Canada. The Health Benefits Unit Assessor is responsible for the assessment of applications to determine eligibility for Alberta Child Health Benefit (ACHB) and Alberta Adult Health Benefit (AAHB) programs, Funeral Benefits, Residential Accessibility Modification Program (RAMP), Safer Spaces (Bill 204) Program, and Continuous Positive Airway Pressure (CPAP) Requests. The Assessor interprets complex legislation, policies and guidelines for these programs, and in doing so, exercises considerable discretion and judgment in making decisions about eligibility. Reporting to the Supervisor, the Assessor also performs contact centre duties that involve responding to a large number of client calls in order to liaise between both internal and external stakeholders, provide updates on the status of applications, troubleshoot issues, provide interpretations of legislation and policy, and provide complex information on unit programs and services.

Requirements

High school diploma and four years of related experience. Equivalencies will be considered as directly related education or experience based on 1 year of education for 1 year of experience or 1 year of experience for 1 year of education.
Possess in-depth knowledge of all applicable legislation, regulations, policies, criteria, guidelines, processes and procedures for client funding and to determine eligibility and calculate assessments.
Excellent, accurate, articulate and concise verbal, writing, and mathematical abilities.
Be able to research, create and analyze information provided on IT systems and paper application/correspondence.
Analytical, research, and decision-making skills, including ability to pay close attention to detail.
Organizational and time management skills, including ability to function effectively in a high volume work environment.
Ability to effectively manage stress and difficult situations.
Confidence and ability to efficiently and effectively diffuse hostility and resolve conflicts.

Nice To Haves

Familiarity with computers and ability to learn unfamiliar systems
Attention to detail
Flexibility and adaptability to rapidly changing situations
Good recall of learned information
Research, analysis, and critical thinking skills

Responsibilities

Determine eligibility according to program legislation and administrative procedures.
Perform income/medical review requests as required.
Prepare letters and emails to applicants, to delivery sites staff, physicians, and service providers regarding decisions and incomplete applications, and for collection of missing information.
Work effectively with internal and external stakeholders including, but not limited to: Service Alberta, Alberta Health, Alberta Blue Cross, and other ministries.
Conduct research and collect applicable documentation from clients and/or stakeholders to ensure client eligibility.
Apply program policies and legislation to client files to determine eligibility.
Primary link between delivery sites and third-party medical consultant regarding CPAP requests for AISH (Assured Income for the Severely Handicapped) and Income Support (IS) programs.
Primary link between delivery sites and clients regarding Health Benefit Exception Committee requests for Alberta Health Benefits, AISH (Assured Income for the Severely Handicapped), and Income Support (IS) programs.
Primary link between funeral service providers and clients regarding Funeral Benefit grant applications.
Primary link between applicants, social workers, occupational therapists, physicians, and home modification service providers.
Primary link between Health Benefit clients, health service providers, and health/dental vendors.
Primary link between applicants who are victims of abuse and emergency protection and shelter service providers.
Interpret and assess information on program legislation, regulations and policy for clients and Albertans by telephone and email.
Provide holistic assessment and provide guidance to clients on program eligibility, application/appeal procedures and processes.