DISABILITY INSURANCE PROGRAM REPRESENTATIVE

About the role

The Disability Insurance (DI) Services Representative will determine claimant eligibility for State Disability Insurance (SDI) Program benefits including Disability Insurance, Paid Family Leave, and Nonindustrial Disability; conduct fact-finding interviews, respond to inquiries, and perform claim processing activities in accordance with laws, regulations, rules and policies; provide prompt, accurate and courteous customer service; develop and provide training that emphasizes the consistent application of law, regulation, policy and procedures, appropriate medical duration control techniques, program integrity practices and processes; record and maintain overpayment (OP) documents in accordance with current over-payment policies and procedures; process OPs, conduct follow up collection actions for both claimant and third party over payments with appropriate documentation.

Responsibilities

• Determine claimant eligibility for State Disability Insurance (SDI) Program benefits including Disability Insurance, Paid Family Leave, and Nonindustrial Disability
• Conduct fact-finding interviews, respond to inquiries, and perform claim processing activities in accordance with laws, regulations, rules and policies
• Provide prompt, accurate and courteous customer service
• Develop and provide training that emphasizes the consistent application of law, regulation, policy and procedures, appropriate medical duration control techniques, program integrity practices and processes
• Record and maintain overpayment (OP) documents in accordance with current over-payment policies and procedures
• Process OPs, conduct follow up collection actions for both claimant and third party over payments with appropriate documentation
• Act as an expert witness before the California Unemployment Insurance Appeals Board

Requirements

Must comply with office security requirements. Travel and/or overtime may be required.

Qualifications

Knowledge of the principles of the SDI Branch programs. Protect program integrity by identifying and reporting any suspected fraudulent claims and/or activities.

Skills

Customer service skills, ability to handle inbound and outbound telephone calls, knowledge of laws, regulations, rules and policies, ability to conduct fact-finding interviews, ability to provide training, ability to process overpayments, ability to act as an expert witness.

Benefits

N/A

Pay

$4,055.00 - $6,310.00 per Month

Schedule

N/A