Eligibility Specialist
Eligibility Specialist
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$ 11196 - 12514
1 Vacancy
Job Description
Department ofHealth and Human Services (DHHS)
Opening Date: April 18 2025
Closing Date: May 9 2025
Job Class Code: 5073
Grade: 19 (Professional & Technical Services)
Salary: $22.63$27.49 per hour*
*New Employees to the State of Maine in this classification begin at Step 4 of the pay scale at $22.63 per hour.
Position Number:
Location: Ellsworth
Core Responsibilities:
The position of Eligibility Specialist determines initial and continued eligibility for public assistance programs. The position may also perform quality control work by reviewing eligibility decisions made by others. Work is done in a fastpaced environment that has high standards for customer service and program accuracy. The position gathers sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with people from different walks of life and/or in various emotional states. Much of the work is done in a call center atmosphere.
Typical Duties:
Interview clients obtains and assesses all necessary facts data supporting information and documentation pertaining to the application or recertification for public assistance.
Evaluate information and applies allowable standards and criteria.
Explain program eligibility requirements rules regulations and individual rights and responsibilities to clients.
Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data.
Answers inquiries and refers clients to various programs.
Identifies potential benefit overpayments assesses cause for overpayment and makes referrals for recovery of benefits.
Identifies potential fraud and refers to the Fraud Investigation Recovery Unit.
Accurately enters data into an automated system and ensures accurate eligibility results.
Communicate verbally and in writing with clients coworkers and other agencies.
Perform intermediate mathematical calculations.
Maintain confidentiality of all applicant and recipient information.
Minimum Qualifications:
To qualify you must have a four (4) year combination of education training and/or progressively responsible experience in a social services setting which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations claims resolutions and/or customer service requests OR a Bachelors Degree in Social Services Business Administration or other related field.
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Agency information:
The Department of Health and Human Services (DHHS) is dedicated to promoting health safety resilience and opportunity for Maine people. The Department provides health and social services to approximately a third of the States population including children families older Mainers and individuals with disabilities mental illness and substance use disorders. The Department also promotes public health operates two state psychiatric hospitals and provides oversight to health care providers.
The Office for Family Independence is responsible for administration of eligibility determination for a number of programs including MaineCare Temporary Assistance for Needy Families (TANF) Food Supplement Fraud and Recovery and Child Support.
Application Information:
For additional information about this position please contact Marcus Hatch at (207)or by email at
To apply please upload a resume cover letter and transcript (transcript needed only if education is used to meet the minimum qualifications)
Please submit all documents or files in PDF format.
To request a paper application please contact
Benefits of working for the State of Maine:
No matter where you work across Maine state government you find employees who embody our state mottoDirigo or I leadas they provide essential services to Mainers every day. We believe in supporting our workforces health and wellbeing with a valuable total compensation package including:
- WorkLife Fit Rest is essential. Take time for yourself using 13 paid holidays 12 days of sick leave and 3 weeks of vacation leave annually. Vacation leave accrual increases with years of service and overtimeexempt employees receive personal leave.
- Health Insurance Coverage The State of Maine pays 85%95% of employeeonly premiums ($11196.96 $12514.32 annual value) depending on salary. Use this chart to find the premium costs for you and your family including the percentage of dependent coverage paid by the State.
- Dental Insurance The State of Maine pays 100% of employeeonly dental premiums ($387.92 annual value).
- Retirement Plan The State contributes the equivalent of 13.29% of the employees pay towards the Maine Public Employees Retirement System (MainePERS).
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a childincluding fathers and adoptive parentsreceive six weeks of fully paid parental leave. Additional unpaid leave may also be available under the Family and Medical Leave Act.
State employees are eligible for anextensive and highly competitive benefits package covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated foranything less than fulltime.
Theres a job and then theres purposeful transformative work. Our aim is to create a workplace where you can learn grow and continuously refine your skills. Applicants demonstrate job requirements in differing ways and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members and our process ensures an inclusive environment to applicants of all backgrounds including diverse race color sex sexual orientation or gender identity physical or mental disability religion age ancestry national origin familial status or genetics.
If youre looking for a great next step and want to feel good about what you do wed love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
