Department of Administrative Services

In a state social service agency this class is accountable for performing the full range of technical tasks related to the quality control of benefits and/or assistance programs.

Works under the general supervision of a Quality Control Supervisor or other employee of higher grade.

May lead/supervise lower level employees as assigned.

Reviews cases through case record analysis and full field investigation for conformance with pertinent state laws, regulations, policies and federal regulations; pursues each case to a definitive conclusion on eligibility and correctness of payment or documentation; identifies or assists in identifying broad causes for ineligibility and incorrect payments or documentation and suggests various corrective actions; works with department or division to help implement corrective actions; undertakes high priority special reviews and projects; completes and ensures accuracy of required federal and state reports; reviews methods of determining eligibility; maintains policy manuals and provides updates in response to changes in state and federal laws or regulations; performs related duties as required.

Considerable knowledge of public assistance principles, methods and process; considerable knowledge of relevant state and federal laws, statutes and regulations; considerable knowledge of relevant agency policies and procedures; knowledge of principles and techniques of time and case management; interpersonal skills; oral and written communication skills; considerable interviewing ability; organizational ability; ability to prepare reports; analytical ability.

Seven (7) years of technical experience in the determination of client eligibility for public assistance or investigation of real or personal client assets in conjunction with eligibility determinations.

One (1) year of the General Experience must have been in the class of Eligibility Services Specialist or Social Services Lead Investigator.

1. College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
2. A Master's degree in a closely related area may be substituted for one (1) additional year of the General Experience.

Incumbents in this class may be required to travel.

Classified/Competitive

(33)-Social Services

(12)-SOCIAL SERV (P-2)

(2)-Professional

SH 22

This replaces the existing specification for the class of Quality Control Reviewer (Social Services) in Salary Group SH 22 approved effective July 31, 2009. (Revised to breakout parenthetical language) Action No. 19-046

10/1/2019