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Program Eligibility Specialist II
The Program Eligibility Specialist II is responsible for reviewing, verifying, and determining applicant eligibility for state-administered programs. This role requires a strong understanding of program policies, the ability to analyze complex case information, proficiency in computer keyboard, excellent verbal and written communication, and a commitment to delivering high-quality customer service.
Class Code:
PPE03P
Job Grade:
SGS06
Special Job Requirements:
Typical Functions:
Review and process applications for state-administered assistance programs, ensuring timely and accurate determinations. Verify applicant information, including income, assets, residency, and household composition, in accordance with program guidelines. Maintain case records and documentation in compliance with state and federal regulations. Monitor ongoing eligibility of program participants and process renewals, changes, and appeals as needed. Identify potential discrepancies or fraudulent applications and escalate cases for further review. Provide clear and professional communication to applicants regarding eligibility requirements, application processes, and program benefits. Assist clients with completing forms, gathering necessary documentation, and understanding their case status. Address applicant inquiries and resolve eligibility-related issues in a timely and empathetic manner. Educate applicants on program policies and available resources to ensure full transparency. Ensure compliance with state and federal regulations governing program eligibility. Conduct quality control checks and audits to maintain accuracy in eligibility determinations. Generate reports and case summaries as required for internal review and audits.
Knowledge, Abilities, and Skills:
Proficiency in data analysis, record management, and case processing systems. Strong problem-solving skills to assess and resolve eligibility issues effectively. Ability to interpret program policies and apply them to individual cases. Ability to prepare, present, and review oral and written information and reports. Ability to explain complex program requirements to applicants in a clear, professional, and compassionate manner. Strong focus on accuracy in reviewing applications, verifying documents, and maintaining records. Ability to prioritize tasks, handle multiple cases, and meet deadlines efficiently.
Minimum Qualifications:
At least two years of experience in eligibility determination, case management, social service administration, or a related field. Satisfaction of the minimum qualifications, including years of experience and service, does not entitle employees to automatic progression within the job series. Promotion to the next classification level is at the discretion of the department and the Office of Personnel Management, taking into consideration the employee’s demonstrated skills, competencies, performance, workload responsibilities, and organizational needs.
Required Certificates:
N/A OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.
Exempt:
N