Appeal Specialist - Child Care Services
Core
Review, investigate, and resolve appeals regarding Child Care Services eligibility, benefit reductions, suspensions, and terminations to ensure due process and regulatory compliance.
Role type
Mid-level IC appeals specialist (public benefits)
Builds
Fair and consistent eligibility determinations for Child Care Services programs
Domain
Public administration / Social services
Required skills
Policy interpretation, case investigation, regulatory compliance, written determinations, stakeholder communication, conflict resolution, data analysis, record management, deadline management
Preferred skills
Experience with child care assistance programs, public benefits, government-funded programs, Bachelor's degree in Public Administration or related field
Technologies
Microsoft Office Suite, case management systems
Responsibilities
Receive and process appeal requests within established timeframes; Conduct comprehensive reviews of eligibility determinations and supporting documentation; Investigate disputed decisions involving income, family composition, employment status, and residency; Analyze applicable policies and regulations to ensure accurate decisions; Communicate with applicants, parents, guardians, and stakeholders to obtain necessary information; Schedule and facilitate informal reviews, appeal hearings, or administrative conferences; Prepare detailed case summaries, findings of fact, and written appeal determinations; Maintain accurate appeal records in case management systems; Initiate payment plans and document recoupments; Monitor appeal deadlines and ensure timely completion of actions; Draft and issue appeal outcome letters; Identify trends in eligibility determinations and recommend process improvements; Assist with quality assurance reviews, audits, and corrective action initiatives; Provide technical guidance on appeal procedures and eligibility policies; Ensure compliance with federal, state, and local requirements; Maintain confidentiality of participant information.
Seniority
Mid-level, hands-on IC