Review Examiner I

Commonwealth of Massachusetts; Brockton (MA); On-site; USD 74,000 - 106,000; Full time

Job summary

Commonwealth of Massachusetts is seeking a Review Examiner I in Brockton. The role involves presiding over administrative hearings on appeals related to unemployment benefits and preparing timely, well-reasoned decisions.

The incumbent conducts fact-finding and analyzes relevant laws and precedents, ensuring accurate data handling and compliance with agency policy. A strong emphasis on thorough documentation and prompt processing is required.

Qualifications

• Three years of full-time, professional experience adjudicating, examining or reviewing claims, benefits or taxes or equivalent.
• Substitutions allow a law degree for experience or partial substitution for other degrees.

Responsibilities

• Conduct administrative hearings on single-party issues and other appeals with less complex evidentiary and legal issues.
• Elicit evidence and testimony to resolve appeals and determine eligibility for benefits.
• Write clear, concise decisions with factual findings and legal conclusions.
• Check written decisions for accuracy and conformance with procedures.
• Enter decisions into the online system within a reasonable timeframe.

Skills

Adjudication experience

Legal analysis

Evidence gathering

Education

Bachelor's degree

Job description

An Official website of the Commonwealth of Massachusetts

Job Description - Review Examiner I (260006UW)

Job Description

Description

The Department of Unemployment Assistance (DUA) administers the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who are able to work, available for work, and looking for a job.

The appeals process for unemployment issues is governed by Massachusetts General Laws, Chapter 151A. For claimants or employers who receive unfavorable determinations, the Hearings Department is the first level of appeal. The Hearings Department conducts hearings via telephone, virtually, and in person at various locations throughout the state. The Review Examiner I will preside over administrative hearings on appeals of claims for agency services or benefits not involving complex evidentiary and legal issues, promptly prepares and implements decisions on hearings conducted, confers with agency staff, and performs related work as required. Reviews appeals and, when possible, obtains additional evidence to resolve the appeal without the need of a hearing.

DETAILED STATEMENT OF DUTIES AND RESPONSIBILITIES:

• In accordance with 801 CMR, M.G.L. Chapter 151 A, and the DOL Performance Criteria, the incumbent conducts administrativehearings on single party issues and other appeals involving less complex evidentiary and legal issues, which ensure the rights of all parties.
• Elicit sufficient evidence and testimony to resolve single party and other appeals involving less complex evidentiary and legal issues of agency determinations regarding benefits, charges, and penalties .
• Writes clear and concise decisions, which contain findings of facts sufficient to support the ultimate findings and conclusions of law, which comply with statutory provisions, case law, and agency policy.
• Checks the accuracy of written decisions by using spellcheck, proofreading, or editing to ensure proper form and conformance with original data and procedures.
• Uploads and data enters decisions into online system within a timeframe that is reasonable and attains the DOL guidelines for promptness.
• Reviews cases prior to and after the hearing to resolve any questions, obtain any needed evidence/information necessary to dispose of pending appeals, or consult with agency staff to resolve problems.
• Investigates appeal issues sent to DUA Hearings by conducting fact-finding interviews by telephone to gather information from claimants and employers and/or their representatives.
• Resolves appeals prior to hearing by analyzing data obtained from investigations and applying relevant laws, rules, regulations and precedents to formulate legal conclusions concerning eligibility for benefits in dispute.
• Writes and issues timely determinations resulting from DUA Hearings investigations approving, or denying benefits which contain sufficient facts, reasons and law to enable interested parties to protect their rights and thus disposing of the appeals.
• Reviewsmaterial to determine compliance with applicable laws, rules, regulations, and procedures.
• Creates and preserves oral and written records of proceedings for use in further study or appeal of case.
• Performs all job duties in a manner to enhance the agency's achievement of its customer service goals.
• Prepares case management reports.
• Performs other related work as required.

Qualifications

Minimum Entrance Requirements: Applicants must have at least (A) three years of full-time, professional experience, the major duties of which included the adjudication, examination and/or review of claims, benefits and/or taxes; the practice of law; labor relations work; claims investigation or adjustment work; credit management or credit investigation work; or (B) any equivalent combination of the required experience and the substitutions below.

Substitutions

I. A Bachelor's or higher degree with a major in law may be substituted for the required experience.*

II. A Bachelor's or higher degree with a major other than in Law may be substituted for a maximum of two years of the required experience.*

*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

An Equal Opportunity /affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC)may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

Official Title : Review Examiner I

Primary Location

United States-Massachusetts-Brockton - 226 Main Street

Job

Community and Social Services

Agency

Department of Workforce Development

Schedule

Full-time

Shift

Day

Number of Openings

2

Salary

73,615.88 - 106,401.62 Yearly

If you have Diversity, Affi...

Bargaining Unit : 06-NAGE - Professional Admin.

Confidential : No

Potentially Eligible for a Hybrid Work Schedule : Yes