Remote Benefits Specialist 2 (In-Training)

Washington State Health Care Authority; Washington; Remote; USD 50,000 - 75,000; Full time

Job summary

The Employment Security Department is hiring ten ES Benefits Specialist 2 in-training for the Paid Leave Customer Care Team. This full-time telework role is based in Washington State, with occasional travel to a duty station within the state.

The anticipated start date is February 16, 2027. The ideal candidate is patient, empathetic, and solution-driven, capable of navigating complex rules and delivering accurate guidance to diverse customers, including those with limited English proficiency.

Qualifications

• Pass UI and PFML claim and fraud checks.
• Experience in claims processing and adjudication.
• Ability to document and verify benefit requests.
• Ability to explain program requirements and services.
• Adaptability and task management for high-volume work.

Responsibilities

• Adjudicate Paid Family Medical Leave claims in accordance with state policies.
• Provide high-quality service via phone, email, and secure messaging.
• Identify customer needs and deliver accurate, timely solutions.
• Review wage information and documentation to determine eligibility.
• Conduct fact-finding and request additional documents when needed.
• Ensure translations for limited English proficiency and provide interpreters as needed.
• Process weekly claims and handle redeterminations and adjustments.
• Report potential underpayments, overpayments, and suspected fraud.
• Respond to inquiries from claimants, employers, healthcare providers, and others.

Job description

The Employment Security Department is hiring ten ES Benefits Specialist 2 in-training for the Paid Leave Customer Care Team. This full-time telework role is based in Washington State, with occasional travel to a duty station within the state.

The anticipated start date is February 16, 2027. The ideal candidate is patient, empathetic, and solution-driven, capable of navigating complex rules and delivering accurate guidance to diverse customers, including those with limited English proficiency.