DISABILITY INSURANCE PROGRAM REPRESENTATIVE

Employment Development Department; California (MO); On-site; USD 45,000 - 54,000; Full time

Job summary

The Employment Development Department (EDD) in San Diego, CA seeks a Disability Insurance Program Representative to determine claimant eligibility for SDI benefits and related programs. The role involves interviewing claimants, processing claims, and ensuring compliance with applicable laws and policies, while delivering courteous customer service.

Responsibilities include documenting overpayments, following up on collections, and potentially serving as an expert witness before the California

Responsibilities

• Determine claimant eligibility for SDI program benefits including Disability Insurance, Paid Family Leave, and Nonindustrial Disability.
• Conduct fact-finding interviews, respond to inquiries, and perform claim processing in accordance with laws, regulations, and policies.
• Provide prompt, accurate, and courteous customer service and assist with training to ensure consistent application of policy.

Job description

Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.

Position Details

Job Code #: JC-529837

Position #(s): 280-212-9233-976 280-212-9233-069 280-212-9233-061 280-212-9233-052

Working Title: Disability Insurance Program Representative

Classification: DISABILITY INSURANCE PROGRAM REPRESENTATIVE

$4,055.00 - $4,837.00 A

$4,390.00 - $5,495.00 B

$5,041.00 - $6,310.00 C

New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

# of Positions: 9

Work Location: San Diego County

Telework: In Office

Job Type: Permanent, Full Time

Work Shift: 8:00 a.m. - 5:00 p.m.

Work Week: Monday - Friday

Department Information:The Employment Development Department (EDD) is one of the largest State departments with employees at hundreds of service locations. For more than 70 years, the EDD has connected millions of job seekers and employers in an effort to build the economy of the Golden State. In order to continue our mission, we are constantly looking for the best and the brightest to join our ranks. Working at EDD presents many opportunities. If you strive to make a difference, we invite you to seek a career with EDD.

Department Website: http://www.edd.ca.gov

Job Description And Duties:Under supervision, 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; will conduct fact-finding interviews, respond to inquiries, and perform claim processing activities in accordance with laws, regulations, rules and policies; will provide prompt, accurate and courteous customer service; may 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, will record and maintain over‑payment documents in accordance with current over‑payment policies and procedures, process OPs, conduct follow up collection actions for both claimant and third party overpayments with appropriate documentation. May act as an expert witness before the California Unemployment Insurance Appeals Board.

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

EXPECTATION - MISSION, VISION, GOALS:The incumbent contributes toward the growth of the DI Branch into a customer‑focused service organization by following and applying SDI Branch cultural principles. The incumbent is required to have knowledge of the principles of the SDI Branch programs. Protect program integrity by identifying and reporting any suspected fraudulent claims and/or activities.

Position located at 9246 Lightwave Ave, Ste 300, San Diego, CA 92123.

If you have questions about the actual position, please contact the "Hiring Unit Contact" listed below under Contact Information.

Effective July 1, 2025, specific Bargaining Units and associated Excluded State employees are subject to a salary reduction between 2% - 4.62% in exchange for hours in the Personal Leave Program 2025 (PLP 2025) per month. For more details, please click here to visit the California Department of Human Resources (CalHR) website.

You will find additional information about the job in the Duty Statement .

Special RequirementsApplication (STD 678) is Required. Resumes and/or Cover Letters DO NOT take the place of the STD 678. An application received without duties listed on the STD 678 will not receive further consideration and may be excluded from the hiring process. Transcripts or Diplomas are optional and may be required to meet minimum qualifications.

If selected for hire , you must obtain list eligibility by taking and passing the examination. If you already have list eligibility for this classification, you do not need to retake the examination unless your list eligibility has expired.