BENEFIT CLAIMS SPECIALIST

# **Department** Department of Labor And Training # **Division** Regulatory Compliance # **Salary** $57,873.00 - $66,196.00 # **Job Profile** JC-02587700-50 - Benefit Claims Specialist (RIESA LOCAL 401 DLT) # **Scheduled Work Days & Work Hours** **Monday - Friday; 8:30 AM - 4:00 PM.** **Position is within the Department of Labor & Training/Central Adjudication Unit (CAU).** **Standard 35.0 hours.** **Restricted/Limited to the leave of the prior incumbent.** # **Job Requisition Number** JR103240 BENEFIT CLAIMS SPECIALIST (Open) # **Pay Grade** C00323 A # **Classification** Benefit Claims Specialist # **Class Definition** **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. **ILLUSTRATIVE EXAMPLES OF WORK PERFORMED:** - 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. **REQUIRED QUALIFICATIONS FOR APPOINTMENT:** **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…