Job Information
City of New York CLAIMS REVIEW SPECIALIST in New York, New York
Job Description
APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT.
The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS) and ensuring that DSS complies with all statutory, regulatory, and contractual standards.
The Office of Revenue comprises divisions and offices performing the following activities: revenue collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program – Claims & Recovery (SNAP-CR).
Within Revenue, SNAP-CR is a revenue producing, federally mandated program within HRA by which SNAP overpayment evaluations are processed in accordance with City, State and Federal regulations. The United States Department of Agriculture’s (USDA) regulations require that an overpayment evaluation be performed on all households that may have received more SNAP benefits than the amount to which they were entitled. SNAP-CR is tasked with the evaluation and development of all potential Cash Assistance (CA) and Non-Cash Assistance (NCA) SNAP overpayments. This unique department not only establishes claim overpayments, recovery overpayments but also implements and lifts SNAP sanctions.
SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will:
Review, process, determine and/or establish cases assigned manually or via Automated SNAP Claim System (ASCS) cases for potential SNAP benefit overpayment.
Through the application of SNAP benefit rules and using retrospective budgeting; determine the overpayment start date, claim period, claim type, claim amount and complete a claim packet and/or process manual/electronic paperwork for manual collections on closed SNAP claims.
Initiate actions to implement intentional program violations (IPV) sanctions, lift IPV sanctions or process fair hearing (FH) decisions/packets on claim cases.
Obtain collateral information / documentation as needed.
Prepare electronic and paper eligibility forms following the review of information sources I.e. Welfare Management System (WMS), work number (TALX), State Online Query (SOLQ), NYCWAY etc. and referral data. Check for accuracy and submit for supervisory review/ authorizations in order to initiate the processing of appropriate case actions.
Complete daily activity reports specifying work actions processed.
Perform other tasks as assigned by the Unit Supervisor
Hours/Schedule: Monday to Friday: 9AM -5PM
Work Location: 375 Pearl Street, NY, NY
Qualifications
Completion of 30 semester credits at an accredited college or university; or
A four high school diploma or its educational equivalent and one year of full-time satisfactory experience in one or more of the following areas; performing the work described below:
a. Interviewing, gathering information and/or preparing necessary documentation for the purpose of making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance, or participation in social services or community programs, and other similar benefits; or
b. Performing bookkeeping, bank teller duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a job in which the duties include helping customers with questions or concerns; or
c. Dealing with social service agencies, legal representatives, or aiding individuals in navigating housing, social, financial or health problems or application systems; or
- A satisfactory combination of education and/or experience equivalent to "1" or "2" above. College education may be substituted for the experience in "2" above on the basis that 30 semester credits from an accredited college or university may be substituted for each year of required experience. However, all candidates must have at least a four year high school diploma or its educational equivalent.
Special Note
Work experience which provides only incidental opportunities to perform the job duties as described in "2a", "2b" and "2c" above are not acceptable for meeting the minimum qualification requirements.
Additional Information
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.