BENEFIT CLAIMS SPECIALIST

RI Council 94; Rhode Island; Hybrid; USD 60,000 - 68,000; Full time

Job summary

Rhode Island Department of Labor and Training is seeking a Benefits Claims Specialist to perform research, interviews, and analysis on disputed unemployment or temporary disability claims. The role involves resolving adjudication issues, attending Board of Review hearings, and drafting findings and recommendations.

The position requires thorough knowledge of RI labor laws, strong interviewing skills, and the ability to evaluate facts and communicate results clearly.

Qualifications

• Knowledge of Rhode Island Employment Security Act and state labor laws.
• Ability to conduct effective interviews for resolving disputed claims.
• Ability to assemble, organize and evaluate facts and write concise reports.

Responsibilities

• Perform research, fact-finding, analysis and interviews on complex unemployment or temporary disability claims.
• Provide input and assistance in resolving adjudication issues and cases.
• Represent the Department of Labor and Training at Board of Review hearings and write related reports.

Skills

Interviewing techniques

Fact-finding

Analytical thinking

Communication

Knowledge of RI Employment SecurityAct

Education

Bachelor's degree

Job description

## BENEFIT CLAIMS SPECIALISTApply: John O. Pastore Center General Complex #70: Full time: Posted Today: End Date: October 19, 2026 (9 days left to apply): JR104083# **Department**Department of Labor And Training# **Division**Regulatory Compliance# **Salary**$59,609.00 - $68,182.00# **Job Profile**JC-02587700-50 - Benefit Claims Specialist (RIESA LOCAL 401 DLT)# **Scheduled Work Days & Work Hours****Monday - Friday; 8:30 AM - 4:00 PM.** **Position is within the Department of Labor & Training/Central Adjudication Unit (CAU).** **Standard 35.0 hours.** # **Job Requisition Number**JR104083 BENEFIT CLAIMS SPECIALIST (Open)# **Pay Grade**C00323 A# **Classification**Benefit Claims Specialist# **Class Definition****GENERAL STATEMENT OF DUTIES:** In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance; to provide input and assistance in resolving adjudication issues and cases; as required, to represent the Department of Labor and Training at Board of Review appeal hearings; and to do related work as required.**SUPERVISION RECEIVED:** Works under the general supervision of a superior with some latitude in the exercise of initiative and independent judgement; work is reviewed to ensure conformance with laws, regulations, policies, procedures and standards.**SUPERVISION EXERCISED:** Trains, guides and/or mentors other technical and clerical staff.**ILLUSTRATIVE EXAMPLES OF WORK PERFORMED:*** In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance.* To provide input and assistance in resolving adjudication issues and cases.* As required, to represent the Department of Labor and Training at Board of Review appeal hearings.* To make recommendations and write related reports on results of research, analysis, and/or fact finding interviews in accordance with established procedures and applicable laws.* To detect and compute overpayments and determine fault in order to declare the overpayment recoverable or non-recoverable, and refer such cases to the Department’s Central Overpayment Unit.* To provide guidance and training to staff on matters related to disputed claims.* To establish and maintain effective working relationships with employers, employment representatives, insurers, and other related representatives.* To do related work as required.**REQUIRED QUALIFICATIONS FOR APPOINTMENT:****KNOWLEDGES, SKILLS AND CAPACITIES:** A working knowledge of the Rhode Island Employment Security Act; a working knowledge of state labor laws; a working knowledge of investigative and interviewing techniques and procedures; the ability to conduct effective interviews for the purpose of resolving disputed claims; the ability to provide consistent interpretation and application of applicable laws and procedures; the ability to assemble, organize and evaluate facts; the ability to prepare written factual reports and recommendations in a coherent and concise manner; the ability to establish and maintain effective working relationships with employers, employment representatives, insurers and other related representatives; and related capacities and abilities.**EDUCATION AND EXPERIENCE:****Education:** Such as may have been gained through: graduation from a college of recognized standing with a bachelor’s degree in labor relations, personnel, business or public administration, or the behavioral or social sciences, or a closely-related field; and**Experience:** Such as may have been gained through: employment in a position responsible for conducting interviews involving fact-finding, analysis and evaluation of data relevant to employment issues.**Or,** any combination of education and experience that shall be substantially equivalent to the above education and experience.**NOTE:** Due to the customer service aspects of this classification, positions within the class may be identified as requiring proficiency in a designated language specialty.# **Supplemental Information**GENERAL STATEMENT OF DUTIES: In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance; to provide input and assistance in resolving adjudication issues and cases; as required, to represent the Department of Labor and Training at Board of Review appeal hearings; and to do related work as required. SUPERVISION RECEIVED: Works under the general supervision of a superior with some latitude in the exercise of initiative and independent judgement; work is reviewed to ensure conformance with laws, regulations, policies, procedures and standards. SUPERVISION EXERCISED: Trains, guides and/or mentors other technical and clerical staff# **Benefits**For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/.Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees. Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit. Accordingly, any employee hired after this date will be required to participate in the direct deposit system. At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.