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Title

Claims and Recovery Specialist (Bilingual Preferred)  

Category Human Services  
Description

Hiring pay range: $23.83 - $29.79

Full pay range: $23.83 - $35.75

 

SUPERVISION:

Non-supervisory position.

GENERAL PURPOSE OF JOB:

Under minimum supervision, performs complex technical legal administrative duties pertaining to the collection of program overpayments to clients, including IPV claims. Negotiates repayment agreements with clients. Interacts with the public and other governmental agencies regarding claims.

ESSENTIAL JOB FUNCTIONS:

(These duties are illustrative of typical essential responsibilities of the job, and may vary according to assignment)

Claims and Recovery Administration:

  • Performs administrative tasks to support the collection of claims, enters non-system determined claims in CBMS, tracks and facilitates the collection of claims.
  • Negotiates repayment agreements with clients.
  • Interacts with clients to resolve issues, pursue collection of overpayments, ensuring clients are fulfilling their repayment agreements. Document client contact in claims database.
  • Monitors client payments on accounts; takes actions as necessary to maximize the recovery of overpayments.
  • Interviews clients to obtain complex situational case details regarding specific legal information.
  • Maintains database system with payment information.
  • Monitors payments from obligated parties and follows up with appropriate measures related to payment collection.
  • Exhibits specialized judgement in making appropriate case actions.
  • Weekly, review and verify all payment postings. Coordinate errors and corrections with Finance.
  • Create new recoveries as needed.
  • Pull and review all payment letters and mail weekly.
  • Respond promptly to phone calls and emails about various claim related issues from Eligibility and Program Integrity teams.
  • Monitor balances and activity for cases currently recouping.
  • Review and close out all paid in full cases on COGNOS reports and close in Recovery database.
  • Review COGNOS reports for State and Federal intercepts; update Recovery database weekly.
  • Assists the Program Integrity Unit and the training team, as requested by supervisor.

Other duties as assigned.

CORE COMPETENCIES:

(Representative of the knowledge, skills, and abilities expected of the position)

  • Public Service: A commitment to the mission of providing exceptional services to the citizens of Garfield County. It is who we are, and what we do.
  • Customer Service: A commitment to providing exceptional service to all customers (internal & external), which includes being helpful, professional, courteous, and taking the time to understand customer’s needs.
  • Stewardship & Innovation: Is a good steward of public resources and looks for ways to be innovative and improve efficiencies.
  • Teamwork: Able to work together with a diverse group of people towards a shared goal, while considering the needs of others.
  • Business Technology: Ability to utilize the technology required of the position and demonstrates a willingness to learn new technologies as required to assist the County in providing exceptional services, innovation, and work efficiencies.
  • Communication: Proficient in communication, and able to communicate using the English language, including written, verbal, or other communication channels as required by the position.
  • Integrity: Maintain a high level of confidentiality and professionalism while performing essential job functions.
 
Position Requirements

MINIMUM QUALIFICATIONS:

(Any combination of experience and education that would likely provide the required knowledge, skills and abilities as determined by Garfield County may be substituted for the following requirements.)

  • Education: High school diploma or equivalent.
  • Experience: Three years of experience working in eligibility programs.
  • Licenses & Certifications: Valid Driver’s License.

PHYSICAL ACTIVITIES AND WORK ENVIRONMENT:

The physical activities and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform essential functions.

REQUIRED PHYSICAL ACTIVITIES:

  • Sitting: The primary task involves sitting at a desk, computer, or workstation for extended periods, performing administrative tasks and using computer equipment.
  • Lifting and Carrying: Occasional lifting and carrying of lightweight office supplies, documents, or small packages may be required, typically not exceeding 15 pounds.
  • Bending and Reaching: May involve occasional bending or reaching to access office equipment, files, or supplies within standard office settings.
  • Grasping and Typing: Ability to use a keyboard, mouse, and office equipment, demonstrating fine motor skills for typing, clicking, and manipulating documents.
  • Visual Acuity: Clear vision for reading printed and on-screen materials, including text, graphics, and data, and for viewing computer monitors for extended periods.
  • Hearing: Adequate hearing to engage in conversations, respond to telephone calls, and interact with colleagues in a typical office environment.
  • Walking/Mobility: Occasional short walks, or mobility, within the office premises may be necessary to attend meetings, access common areas, or collaborate with colleagues.
  • Stamina: Maintain the ability to maintain focus, productivity, and attention to detail while working at a desk for standard office hours.

WORK ENVIRONMENT:

Work is primarily performed in a standard office environment. Extended periods of sitting are required.

WORK HOURS:

  • Hours are typically 8:00am to 5:00pm Monday through Friday.
  • There may be times when an employee may need to work outside the established work week, such as after hours or on the weekend.

REQUIRED TRAVEL:

The employee may occasionally be required to travel within the County.

TECHNOLOGY AND EQUIPMENT:

Computer and relevant software applications, spreadsheets, calendars, and word processing. Will also work with calculators, telephone systems, and mobile phones. Statewide client information system (TRAILS).

NOTE: This position requires a pre-employment background check which will include a Criminal Background Check, Employment Verification, and Motor Vehicle Record. Employment is contingent upon successful completion of these items.

THIS JOB DESCRIPTION DOES NOT CONSTITUTE AN EMPLOYMENT AGREEMENT. Nothing in this job description restricts Garfield County’s ability to assign, reassign or eliminate duties and responsibilities of this job at any time. It does not prescribe or restrict the tasks that may be assigned. This job description describes the County’s current assignment of essential functions. Those functions may change at any time as the needs of the County change or for other reasons deemed appropriate by the County.

The Colorado Department of Human Services is statutorily responsible for Colorado Emergency Support Function (ESF) #6, based on the?State Emergency Operations Plan. The ESF #6 functions address mass care, emergency assistance, housing, and human services. When an emergency or disaster is declared all DHS employees may be required to perform job duties associated with these ESF #6 requirements.

This position is Open Until Filled unless specified otherwise.

 
Full-Time/Part-Time Full-Time  
Location Rifle, Colorado.  
Benefit Information To view information about our benefits package, please visithttps://www.garfield-county.com/human-resources/benefits-brochure/  
Hiring Range $23.83 - $29.79  
Full Pay Range $23.83 - $35.75  
Driving Classification Marginal  
Number of Openings 1  
Exempt/Non-Exempt Non-Exempt  
Req Number HUM-24-00009  
Open Date 3/7/2024  
About the Organization Garfield County, Colorado consists of rugged alpine vistas and high desert mountains in the Rocky Mountain region, which dwells along the Continental Divide. Garfield County is located in western Colorado, where outdoor recreation opportunities abound, including hunting, fishing, hiking, rafting and kayaking, biking, skiing and snowboarding. It is home to the second largest designated wilderness area in Colorado - the Flattops Wilderness, the world's largest mineral hot springs pool, a popular family ski resort, and Hanging Lake, designated as a National Natural Landmark by the Secretary of the Interior in 2011.  
EOE Statement Garfield County is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://GarfieldCountyColorado.appone.com



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