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Eligibility Specialist
State Of Maine - Rockland, ME
posted 2 months ago
About the position
The Eligibility Specialist position at the Department of Health and Human Services (DHHS) in Rockland, Maine, is responsible for determining initial and continued eligibility for public assistance programs. This role involves gathering sensitive information, performing quality control, and ensuring high standards of customer service in a fast-paced environment. Strong interpersonal skills are essential as the specialist interacts with clients from diverse backgrounds and emotional states, primarily in a call center setting.
Responsibilities
- Interview clients to obtain and assess necessary facts, data, and documentation for public assistance applications or recertifications.
- Evaluate information and apply allowable standards and criteria for eligibility determinations.
- Explain program eligibility requirements, rules, regulations, and individual rights to clients.
- Review and analyze information for accuracy, identify inconsistencies, and request necessary documentation.
- Verify and validate data to ensure accurate eligibility results.
- Answer inquiries and refer clients to various programs as needed.
- Identify potential benefit overpayments and assess causes for recovery referrals.
- Detect potential fraud and refer cases to the Fraud Investigation Recovery Unit.
- Accurately enter data into an automated system to ensure eligibility results are correct.
- Communicate effectively, both verbally and in writing, with clients, co-workers, and other agencies.
- Perform intermediate mathematical calculations as required.
- Maintain confidentiality of all applicant and recipient information.
Requirements
- A four-year combination of education, training, and/or progressively responsible experience in a social services setting demonstrating interviewing and data gathering skills.
- A Bachelor's Degree in Social Services, Business Administration, or a related field.
Benefits
- 13 paid holidays annually
- 12 days of sick leave
- 3+ weeks of vacation leave annually
- Health insurance coverage with 85%-95% of employee-only premiums paid by the State
- 100% of employee-only dental premiums paid by the State
- Retirement plan with a 13.29% contribution from the State
- Six weeks of fully paid parental leave for all employees welcoming a child
