GENERAL DESCRIPTION OF CLASS:
The purpose of the class is to supervise as lead worker in determining and redetermining the level of benefit eligibility for applicants/current clients for financial, medical, or nutritional assistance under government programs, and/or to investigate possible fraud cases. The class is responsible for fraud cases, and/or supervision of assigned personnel, monitoring/reading cases, assisting with client evaluations, applicant/client interviews and assessments, acceptance/denial determinations, record maintenance, and reporting. The class works within a general outline of work to be performed; develops work methods and sequences under general supervision.
The tasks listed below are those that represent the majority of the time spent working in this class. Management may assign additional tasks related to the type of work of the class as necessary.
Monitors/reads cases of workers for accuracy and completeness; assists other workers in evaluating eligibility of difficult or complicated cases; screens cases from intake and other units for accuracy and completeness.
Interviews applicants/clients for assistance to determine eligibility, securing and verifying social, financial, and medical information.
Analyzes and documents data in determination of most beneficial assistance plan; grants or denies benefits; notifies applicants/clients of determination.
Supervises staff, including training, assigning and evaluating work, mentoring, counseling, and providing policy clarification.
Receives referrals of suspected fraud from program workers and other sources including community complaints and computer matches.
Gathers and analyzes information to substantiate fraud cases; takes statements from suspects and witnesses; establishes intent.
Testifies in court as required; computes amount of fraud claim and sets up collections.
Assists supervisor with case assignment, quality control, and case management.
Performs routine office tasks such as typing correspondence, data entry, filing, faxing, telephoning, and photocopying.
Gathers and maintains information to support periodic and special reports documenting activities for area of responsibility.
Attends or conducts staff meetings to exchange information; attends supervisory training sessions to improve professional skills.