What are the responsibilities and job description for the BENEFITS CLAIMS SPECIALIST position at State of Rhode Island?
GENERAL STATEMENT OF DUTIES: In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance; to provide input and assistance in resolving adjudication issues and cases; as required, to represent the Department of Labor and Training at Board of Review appeal hearings; and to do related work as required.
SUPERVISION RECEIVED: Works under the general supervision of a superior with some latitude in the exercise of initiative and independent judgement; work is reviewed to ensure conformance with laws, regulations, policies, procedures and standards.
SUPERVISION EXERCISED: Trains, guides and/or mentors other technical and clerical staff.
- In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance.
- To provide input and assistance in resolving adjudication issues and cases.
- As required, to represent the Department of Labor and Training at Board of Review
- appeal hearings.
- To make recommendations and write related reports on results of research, analysis, and/or fact-finding interviews in accordance with established procedures and applicable laws.
- To detect and compute overpayments and determine fault in order to declare the overpayment recoverable or non-recoverable, and refer such cases to the Department’s Central Overpayment Unit.
- To provide guidance and training to staff on matters related to disputed claims.
- To establish and maintain effective working relationships with employers, employment representatives, insurers, and other related representatives.
- To do related work as required.
KNOWLEDGES, SKILLS AND CAPACITIES: A working knowledge of the Rhode Island Employment Security Act; a working knowledge of state labor laws; a working knowledge of investigative and interviewing techniques and procedures; the ability to conduct effective interviews for the purpose of resolving disputed claims; the ability to provide consistent interpretation and application of applicable laws and procedures; the ability to assemble, organize and evaluate facts; the ability to prepare written factual reports and recommendations in a coherent and concise manner; the ability to establish and maintain effective working relationships with employers, employment representatives, insurers and other related representatives; and related capacities and abilities.
EDUCATION AND EXPERIENCE:
Education: Such as may have been gained through: graduation from a college of recognized standing with a bachelor’s degree in labor relations, personnel, business or public administration, or the behavioral or social sciences, or a closely-related field; and
Experience: Such as may have been gained through: employment in a position responsible for conducting interviews involving fact-finding, analysis and evaluation of data relevant to employment issues.
Or, any combination of education and experience that shall be substantially equivalent to the above education and experience.
NOTE: Due to the customer service aspects of this classification, positions within the class may be identified as requiring proficiency in a designated language specialty.
Salary : $55,647 - $63,650
