Description
KEY QUALIFICATIONS - Bilingual Spanish/English -Operate all Office Equipment -Microsoft Office Applications - Data Entry Skills -Communication Skills -Interpretation of Laws & Rules - Electronic Cash Register - Customer Service Skills -Bookkeeping Skills STATE OF ARIZONA, DEPARTMENT OF ECONOMIC SECURITY-UNEMPLOYMENT INSURANCE QUALITY CONTROL / BENEFIT ACCURACY MEASUREMENT 02/01/15 TO 7/14/2016 Benefit Accuracy Measurement (BAM) Conduct extensive audits of randomly selected unemployment insurance claims and determine the appropriateness and accuracy of payments made based on Arizona law and policy resulting in a realistic quality control system performs various duties in the audit process including: examining all Department records of the claim thoroughly contacting all base period employers to verify the accuracy of wages auditing the wages by verifying with the employer the accuracy of any wages reported by the claimant. The BAM Investigator audits additional cases each month, in addition to the required Department of Labor (DOL) sample, and determines whether regulations and laws applicable to the Unemployment Insurance (UI) Program have been applied correctly. This position interacts with state and federal entities to assure proper interpretation submits reports with findings and recommendations for improvement of program operations to Arizona and works with the Office of Special Investigations (OSI) on possible fraud cases. The incumbent represents the Department at appeal hearings maintains daily logs of travel, mileage, time and case information assists the claimant with completing the Quality Control Audit UI Law, UI policy and procedures adjudication process individual local office procedures that may differ from normal claimant requirements Benefits Process Control, Job Service and UI Tax procedures DOL audit compliance and coding procedures basic accounting various computer programs (Word, Excel, Access, Outlook) and using the Internet Benefits Payment Control -Overpayment Department 09/2014 to 01/31/15 Perform high priority and confidential investigations claims. Perform other duties as necessary and advice customers of their responsibilities when participating in the program. Develop service plans utilizing computer systems, software and mathematical computation and maintain a variety of program databases. Provide technical assistance to staff. Access, maintain, review and interpret database information. Explain and interpret Federal and State laws and agency statutes, rules, regulations and guidelines applicable to the area of assignment. Explain and interpret Federal and State laws and agency statutes, rules, regulations and guidelines applicable to the area of assignment. Audit claims in order to make determinations affecting regulation taxation, or compliance with state laws review federal income tax returns to determine if employer/employee relationship exists, if wages are taxable and amount of taxes due or refundable. Prepare cases for collection where bills are owed to the program because of overpayment underpayment. Program Service Evaluator III 7/2001 to 09/2014 Performs senior level or lead work activities, exercises discretion and provides technical assistance in interpreting policies, rules and regulations for staff and customers in assigned areas when making initial claim, wages protest, appeals, and interstate claims, military and federal unemployment insurance claims and/or determination of eligibility according to unemployment insurance benefits or employment services. Assisting to supervisor and provides technical assistance in interpreting policies, rules and regulations for staff and customers. Review cases assigned by management. Respond e-mails to Claimants inquiries. Review and evaluates programs information to prepare reports of wages protest claims, interviewing clients by internet, writing or telephone and collect evidence to make determinations and recommends action. Interviewing irate or hostile claimant, employers and third parties to determine eligibility using Federal and State guidelines. Perform high priority and confidential investigations claims. Perform other duties as necessary and advice customers of their responsibilities when participating in the program. Develop service plans utilizing computer systems, software and mathematical computation and maintain a variety of program databases. Provide technical assistance to staff. Access, maintain, review and interpret database information. Explain and interpret Federal and State laws and agency statutes, rules, regulations and guidelines applicable to the area of assignment. Performs independently or in a project lead role to detect and verify violation of administrative rules, laws, regulations and /or policies. Investigates alleged violation, detect improprieties. Maintains case files Confers with supervisor to receive counseling instruction and advice and discuss work processes, incidents problems and plans. Resolves technical or work procedural problems and questions presented by subordinate-level workers. Confer with personnel of law enforcement and other agencies with regard to joint actions taken or to be taken or in exchanged of vital useful information. Work under general supervision of an Unemployment Insurance, Unit Supervisor in order to make determinations affecting regulation taxation, or compliance with state laws review federal income tax returns to determine if employer/employee relationship exists, if wages are taxable and amount of taxes due or refundable. Prepare cases for collection where bills are owed to the program because of overpayment underpayment. Develop an internal project with completed claims, providing a presentation with statistics and charts to illustrate new methods to improve quality of Performance Measure Rules (PMR) and Java standards for federal requirements. Assigned to initial verification with Department of Homeland Security elicit official document to the claimant and input data upon document, submit biographic information and detection of error prior to submitting initial query. Proceed according to DHS initial verification or provide additional information if requested before completing each SAVE process. PIMA COMMUNITY COLLEGE Tucson, AZ Spanish Tutor 1991 to 1993 Assisted students with pronunciation and use a proper grammar structures. Understanding of cultural and individual differences based on background of people.
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