LCD-ES Benefits Specialist ; In-Training DUAL LANGUAGE/Telework
Listed on 2026-01-04
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Healthcare
Healthcare Administration, Medical Records
LCD-ES Benefits Specialist 2 (In-Training) DUAL LANGUAGE/Telework
5 days ago Be among the first 25 applicants
DescriptionThe ideal candidate will have critical thinking skills, insightful ability for decision-making, can work independently, in a group setting, and/or a virtual environment, while being comfortable with evolving technology. They will be able to adapt to varying directives, have keen attention to detail, and will be able to maintain professionalism while handling sensitive and confidential information.
As our ES Benefits Specialist, you will display empathy, compassion, and resourcefulness while providing excellent service to both internal and external customers. Daily duties include reviewing and analyzing information obtained through source documents and client/customer interviews to determine eligibility, making adjudicative decisions, and ensuring compliance with the Paid Family & Medical Leave standards. You will verify employers’ financial records and beneficiaries’ medical documentation, provide world-class customer care directly to employers and employees via phone and email, and ensure equitable access to services and benefits of the program.
NOTE:
This is a dual language position and requires the incumbent to be able to communicate effectively in Spanish in person, via telephone, and in writing.
This position is primarily remote, though the successful candidate may occasionally be asked to travel to the nearest office in their region. The anticipated start date is March 16, 2026.
Duties- Processing and adjudicating routine and complex Paid Family and Medical Leave claims.
- Reviewing documents such as wage and hour information, identity verification and medical certifications to determine eligibility for Paid Family and Medical Leave benefits.
- Fact‑finding for additional documentation and supporting evidence.
- Processing weekly claims and identifying need for corrections or adjustments to ensure timely and accurate benefit payments.
- Processing and adjudicating both monetary and non‑monetary benefit redeterminations.
- Providing excellent customer service to a high volume of customer communications via phones, secure messaging and emails.
- Initiating and responding to routine and complex correspondence and inquiries from claimants and/or their representatives, employers, other public programs and healthcare providers.
For a full description of duties, please request the PDF from the recruiter.
Salary- Benefit Specialist In‑Training: $49,428 – $66,372 annually
- Benefit Specialist 2: $54,504 – $73,284 annually
Required options:
- Option 1: Five (5) years of equivalent education/experience.
- Option 2: One (1) year as an ES Benefit Specialist 1.
- Option 3: One (1) year of experience equivalent to the ES Benefits Specialist 1 with another state that administers insurance benefits programs.
- Option 4: Associate’s Degree in a health or social science, public administration or a related field and three (3) years of the required experience below.
- Option 5: Bachelor’s Degree in a health or social science, public administration or a related field and one (1) year of the required experience below.
Required experience includes:
- Claims Processing and Adjudication.
- Documentation and Verification.
- Fact‑Finding and Advising.
- Legal Compliance and Decision Making.
- Program Knowledge and Communication.
- Problem Resolution and Communication.
- Adaptability, Versatility and Task Management.
Required Equity
Competencies:
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
- Must be able to pass Unemployment Insurance (UI) & Paid Family and Medical Leave (PFML) claim and fraud check.
Please submit a cover letter, three professional references, and a resume through the online application. Any documents uploaded will be securely transmitted electronically.
NOTE:
Only completed applications will be considered.
If you are a person needing assistance in the application process or require an alternate format, contact Cheyenne Pernites
, , or the Talent Acquisition Team. COVID-related assistance is available via Washington Relay Service 711.
If you have technical difficulties creating, accessing, or completing your application, contact careers help.gov or (toll free ).
EEO StatementThe Employment Security Department is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.
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