Eligibility Specialist I
Eligibility Specialist I
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Job Description
Position Information
- The Eligibility Specialist classifications determine the eligibility of applicants and recipients for public assistance programs through interactive interviewing and fact gathering; maintain current knowledge of program regulations and procedures necessary for multiprogram caseload administration; initiate and process casework through automated systems; identify needs and make appropriate referrals for health social and/or employment services; and perform related work as required.
The Eligibility Specialist I is the entrylevel classification in the Eligibility Specialist series. Incumbents may have prior experience determining eligibility for loans financial assistance unemployment or veterans benefits or publicly or privately funded health counseling or social services programs; have completed initial classroom training provided as part of the Eligibility Specialist Trainee training program; or may have the required level of education. Incumbents will be placed in a work team and initially may receive classroom instruction prior to being assigned casework and/or tasks. Incumbents will work under close supervision while learning to independently determine public assistance eligibility and apply knowledge and skills learned from their training in completing eligibility tasks and applying complex regulations. As incumbents gain experience and work toward the journey level in the series they are expected to work with more independence and have the ability to complete more complex tasks and/or handle larger client caseloads. Incumbents are expected to progress to the journeylevel Eligibility Specialist II upon completion of one year of satisfactory performance in the entrylevel Eligibility Specialist I classification.
SUPERVISION EXERCISED AND RECEIVEDIncumbents in the Eligibility Specialist I and II classifications typically receive supervision from an Eligibility Supervisor and may receive lead direction from an Eligibility Specialist III.
ALTERNATE POSTING
Please note this posting is being advertised in conjunction with the job posting for Eligibility Specialist II. Candidates interested in this position who feel they meet the qualifications for the next classification in the series must apply to both classifications. Examples of Duties
- Duties may include but are not limited to the following:
(For Eligibility Specialist I duties are performed at the entry level.- Performs interactive interviews to elicit eligibility information obtain and/or verify financial employment tax and personal demographic information and determine eligibility for public assistance programs and services
- Analyzes financial and eligibility information to determine initial or continuing eligibility for multiple aid programs
- Explains regulations rules and policies to clients and apprises them of their rights responsibilities and eligibility for participation in various public assistance programs and services
- Ensures accuracy and completion of application and declaration forms
- Resolves discrepancies by securing documentation medical records and confirmation from other agencies
- Enters and retrieves numerical and narrative data and issues benefits from an automated computer system
- Determines the level of benefits to which the client is entitled by making complex computations and/or computer entries and then analyzing the results
- Reviews and interprets information provided on a variety of forms both by the client and third parties to assist with eligibility determination
- Evaluates clients for and answers questions on Advanced Payment Tax Credits (APTC) related to health care reform
- Explains a variety of plan options costs and individual plan features through Covered California
- Monitors ongoing eligibility by obtaining periodic updated information of eligibility factors and takes appropriate actions on changes
- Determines need for additional services and makes referrals as needed for employment and other services to outside agencies to assist clients toward selfsufficiency and directs clients accordingly
- Organizes and prioritizes caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy
- Enters and maintains case records including written narratives forms and computer documents in a clear and readable format
- Troubleshoots task and/or case issues to determine appropriate resolution of problems involving Help Desk as needed
- Communicates both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality
- Responds to questions and complaints of clients in person by telephone mail and/or email communication
- Provides pertinent forms and pamphlets to clients as required
- Identifies suspected fraud and makes referrals for investigation
- Makes referrals to social service workers as needed
- Participates in special projects studies work assignments and committees
- Prepares correspondence and reports
- Performs related duties as assigned
EMPLOYMENT STANDARDS
Note: The level and scope of the knowledge and skills listed below are related to job duties as distinguished between the two levels in the Definition section.
Knowledge of:- General goals and purpose of public social services programs
- Laws rules regulations policies and procedures governing eligibility for diverse public assistance programs and related case administrative techniques
- Methods and techniques of conducting an investigative interview and information gathering
- Computer terminology and computer keyboard arrangement
- Modern office practices methods and procedures
- Record keeping practices and procedures
- Principles of mathematical calculations
- Intricacies of health insurance plans medical health plan options and associated terminology
- Regulations and rules regarding household filing status related to the Affordable Care Act
- Cultural and human behavior including knowledge of self to interact effectively with clients and staff
- Principles and practices of effective customer service
- Structure and content of the English language including the meaning and spelling of words rules of composition and grammar
- Modern equipment and communication tools used for business functions and program project and task coordination
- Computers and software programs (e.g. Microsoft software applications) to conduct research assess information and/or prepare documentation
Ability to:- Apply the policies procedures and programs of the County Social Services Department
- Apply the laws rules and regulations governing eligibility and grant determination for multiple public assistance programs and the case administration of these programs
- Identify available resources and communicate with others to obtain and verify information concerning eligibility
- Use fact finding techniques and perform indepth and interactive interviewing
- Determine appropriate course of action in emergency situations
- Make referrals to appropriate agencies and social service programs
- Detect and evaluate potential fraudulent situations
- Analyze and interpret written numerical and verbal data from various sources
- Utilize multiple electronic information social services systems and analyze and interpret such information
- Enter and maintain data accurately and timely into a computerized system
- Navigate through computer screens and effectively use computer systems software applications and modern business equipment to perform a variety of work tasks
- Identify when computer output is incorrect and make corrections
- Process cases manually as required
- Plan and organize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness
- Function effectively in a system with strict deadlines and constant changes
- Read understand apply and explain complicated and detailed correspondence reports regulations and policy directives
- Perform a variety of mathematical computations accurately and rapidly
- Prepare clear concise and accurate records and reports
- Explain complex rules and programs so they can be understood by people of diverse socioeconomic cultural and educational backgrounds
- Gather record and correctly evaluate tax filing data income and additional necessary information required for the determination of eligibility for one or more programs
- Explain health insurance plan options and plan details available to clients through theAffordable Care Act
- Review a variety of tax documents to obtain needed household filing information
- Explain health care reform tax credit implications to clients
- Refer clients to other community services as needed
- Assess and manage difficult and hostile persons or situations; or call for intervention when appropriate
- Interact with people in a courteous manner in person on the telephone by mail or email
- Work in a fastpaced professional office environment and prioritize a wide range of duties with varying time requirements to ensure timely completion
- Communicate clearly and concisely both orally and in writing using appropriate English grammar and syntax
- Establish and maintain cooperative working relationships with the public and staff
- Follow written and oral directions and instructions
Minimum Qualifications
- Pattern 1: One year fulltime experience in an Eligibility Specialist Trainee classification in an Interagency Merit System (IMS) county;ORPattern 2: One 1 year of fulltime experience determining eligibility for health programs loans financial assistance unemployment or other benefits and two 2 years of clerical work involving public contact;ORPattern 3: Two 2 years of fulltime experience determining eligibility for health programs loans financial assistance unemployment or other benefits;ORPattern 4: Four 4 years of fulltime clerical work involving public contact interviewing math computations completion of forms or eliciting information from the public;ORPattern 5: Graduation from an accredited fouryear college or university.
Qualifying experience or education may be combined in order to meet the above requirements. When combining education and experience; fifteen 15 semester units or twentytwo and a half 22.5 quarter units equals six months of experience.
Supplemental Information
MULTIPLECHOICE EXAMINATION WEIGHTED 100
The MultipleChoice Examination will consist of an online multiplechoice exam with the following four test sections:
- Data Analysis and Math
- Workplace Issues
- Grammar and Proofreading
- Reading Comprehension
ELIGIBLE LIST INFORMATION
A departmental open eligible list will be established for the county of Calaveras. The list will be utilized for 12 months after it is established unless the needs of the service and conditions of the list warrant a change in this period.SPECIAL TESTING ARRANGEMENTS
Special testing arrangements may be made to accommodate applicants for disability military or religious reasons. If you require such arrangements please contact CalHR at orupon notification that your application has been approved. Documentation from medical military school or church officials outlining the accommodation request must be received by our office a minimum of five business days prior to a scheduled examination.APPLICATION DOCUMENTS
If you are using education to meet the minimum qualifications you must attach your transcripts to your application. Applicants with foreign transcripts must provide a transcript evaluation that indicates the number of units to which the foreign course work is equivalent. Transcripts and evaluations may be unofficial; official transcripts may be required upon appointment. Please redact birthdates and social security numbers.GENERAL INFORMATION
MSS reserves the right to revise the examination plan to better meet the needs of the recruitment if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service laws and rules and all competitors will be notified.
If you meet the requirements stated on this bulletin you may take this examination. Your performance in this examination will be rated against predetermined rating criteria. All competitors who pass will be added to the eligible list. Meeting the entry requirements does not assure success in the examination or placement on the eligible list.
General Qualifications: Applicants must possess essential personal qualifications including integrity initiative dependability good judgement the ability to work cooperatively with others and a state of health consistent with the ability to perform the assigned duties of the class. A medical examination may be required. As part of the hiring process a background investigation may be required.
EQUAL EMPLOYMENT OPPORTUNITY
The Merit System Services program is committed to equal employment opportunity for all regardless of age ancestry color disability (mental and physical) exercising the right to family care and medical leave gender gender expression gender identity genetic information marital status medical condition military or veteran status national origin political affiliation race religious creed sex (includes pregnancy childbirth breastfeeding and related medical conditions) and sexual orientation.ADDITIONAL INFORMATION
- A valid driver license may be required at the time of appointment and employees may also be required to drive their own car provide proof of car insurance and a DMV clearance. Individuals who do not meet this requirement due to a disability will be reviewed on a casebycase basis.
- Position may require: preemployment drug testing; physical and fingerprinting for a background investigation; ability to work a flexible work schedule; and ability to travel within the state and work out of the county.
- Government agencies accessing US government information which include federal tax information must ensure that background investigation requirements for all agency employees and contractors that have access to federal tax information are consistent to the IRS background investigation requirements for access to federal tax information.
- Background checks are required and must be repeated every 5 years. Background requirements consist of three components which include fingerprinting citizenship verification and local law enforcement checks.
- Applicable agencies must conduct investigation during time of hire and ensure a reinvestigation is conducted 10 years from the date of the previous background investigation for each employee that has access to federal tax information.
ABOUT CALAVERAS COUNTY
Calaveras County is located in the beautiful Sierra Nevada Foothills in Californias historic Gold Country region. According to a USDA study this charming and lovely area ranks 14th nationally for scenic beauty and climate. The County offers historic landmarks rolling hills and expansive valleys and is known for its friendly communities. The County is dotted with charming historic Gold Rush towns. With elevations ranging from nearly sea level to over 8000 feet you can literally ski in the morning and then play golf at one of five championship courses in the afternoon without ever leaving the County. And if youre hoping to have ready access to a body of water to satisfy your fondness for swimming fishing or boating youre in luck Calaveras County is home to five large foothill reservoirs. For wine enthusiasts and foodies there are over 20 wine tasting rooms and a myriad of high quality dining experiences for every taste. Regardless of your favorite season youll experience the best of it here from snow in the Winter to gorgeous Spring flowers and everything in between.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
