State of Connecticut Executive Branch

Quality Control Reviewer (Social Services) (6817SH)

$34.47-$43.95 Hourly / $2,756.82-$3,515.52 BiWeekly /
$71,953.00-$91,755.00 Yearly

PURPOSE OF JOB CLASS (NATURE OF WORK)

In a state social service agency this class is accountable for performing the full range of technical tasks related to the quality control of benefits and/or assistance programs.

SUPERVISION RECEIVED

Works under the general supervision of a Quality Control Supervisor or other employee of higher grade.

SUPERVISION EXERCISED

May lead/supervise lower level employees as assigned.

EXAMPLES OF DUTIES

  • Reviews cases through case record analysis and full field investigation for conformance with pertinent state laws, regulations, policies and federal regulations;
  • Pursues each case to a definitive conclusion on eligibility and correctness of payment or documentation;
  • Identifies or assists in identifying broad causes for ineligibility and incorrect payments or documentation and suggests various corrective actions;
  • Works with department or division to help implement corrective actions;
  • Undertakes high priority special reviews and projects;
  • Completes and ensures accuracy of required federal and state reports;
  • Reviews methods of determining eligibility;
  • Maintains policy manuals and provides updates in response to changes in state and federal laws or regulations;
  • Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

  • Considerable knowledge of
    • public assistance principles, methods and process;
    • relevant state and federal laws, statutes and regulations;
    • relevant agency policies and procedures;
  • Knowledge of principles and techniques of time and case management;
  • Skills
    • interpersonal skills;
    • oral and written communication skills;
    • organizational skills;
    • analytical skills;
  • Considerable interviewing ability;
  • Ability to prepare reports;

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Seven (7) years of technical experience in the determination of client eligibility for public assistance or investigation of real or personal client assets in conjunction with eligibility determinations.

MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE

One (1) year of the General Experience must have been in the class of Eligibility Services Specialist or Social Services Lead Investigator.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

  • College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
  • A Master's degree in a closely related area may be substituted for one (1) additional year of the General Experience.

SPECIAL REQUIREMENTS

Incumbents in this class may be required to travel.

JOB CLASS DESIGNATION

Classified/Competitive

OCCUPATIONAL GROUP

(33)-Social Services

BARGAINING UNIT

(12)-SOCIAL SERV (P-2)

EEO

(2)-Professional

SALARY INFORMATION

SH 22

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes.  As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

CANCELLATION CLAUSE

This replaces the existing specification for the class of Quality Control Reviewer (Social Services) in Salary Group SH 22 approved effective October 01, 2019. (Reviewed for content, revised to modernize format and add Acknowledgement section) Final No. 24-027

EFFECTIVE DATE

02/15/2024
CLASS: 6817SH; EST: 2/15/1985; REV: 2/20/2024;