Marleah Galvez

This position conducts extensive audits of randomly selected unemployment insurance claims, to determine the appropriateness and accuracy of payments made on the bases of Arizona law and policy resulting in a realistic quality control system. This position performs the following duties in the audit process:

• Examines all Department records of the claim thoroughly
• Contacts all base period employers of wages and audit the wages by verifying with the employer the accuracy of any wages reported by the claimant during the filling period.
• Contact the last employer to verify the last day of work, salary, severance, vacation, sick, or holiday pay and reason for separation.
• Conduct in-depth in person and telephone interviews.
• Collect facts regarding separation or other issues from original claim or those that may be discovered during the interview. Writes fact finding reports based on gathered evidence and information, determines the accuracy and appropriateness of the award of benefits to the claimant.
• Write and issue a formal report on the actions taken and recommendations which are reviewed with the program staff, the final decision on these determinations rests with the auditor.
• In addition to the required DOL sample, staff audits additional cases per month to review and analyze to determine whether regulations and laws applicable to the UI Program have been applicable to the UI Program have been applied correctly. Interface with state and federal entities to assure proper interpretation. Submit reports with findings and recommendations for improvement to management. Review current operating procedures and develop methods for improvement.
• Request wages discovered from other states be added to claims.
• Work with the Benefits Payment Control to add or delete wages.
• Issue monetary or non-monetary determinations of eligibility for the KEY WEEK based on gathered evidence.
• Verify Claimant's efforts to obtain work by contacting each employer listed and write a report of the findings.
• Work with the Office of Special investigations, if necessary, on possible fraud cases.
• Represent the Department at appeal hearings.
• Maintain daily logs of travel, mileage, time and case information.
• Assist the Claimant with completing the Quality Control Audit Questionnaire when necessary. Review questionnaire to determine whether potential issues exists.

Knowledge:

Thorough knowledge of the Unemployment Insurance policy and procedures.

Thorough knowledge of the adjudication process, which includes 2 years of issuing non-monetary determinations.

Thorough knowledge of individual local office procedures that may differ from normal claimant requirements.

Working knowledge of the Benefits Payment Control, Employment Service, and UI Tax procedures.

Basis knowledge of accounting.

Knowledge of various computer programs, including unemployment insurance systems and applications.

Knowledge of how to utilize the internet.

Skills:

Demonstrates skill in the interpretation and application of Federal and State laws, rules and regulations.

Demonstrates oral and written communication skills necessary to outline results of audits.

Demonstrates skill in producing statistical and other reports; Detail Oriented

Organizational and time management skills, and the ability to multi-task on a daily basis and maintain flexibility in prioritizing task/assignments.

All skills acquired through on the job training and experience and appropriate college courses such as phycology, speech, writing, etc.

Skilled in investigation procedures, methodology, report writing, case management, interviewing techniques, and providing technical assistance to staff after training.

Ability:

Ability to utilize verbal and writing communication to explain and interpret federal and state laws, statures, rules, regulations and guidelines applicable to unemployment insurance claims.

Ability to plan, analyze and coordinate activities, establish priorities, develop procedures, evaluate policies and procedures.

Ability to summarize and analyze information and data, to identify trends in material quantitative and/ or qualitative information along recommendations.

Ability to compose correspondence and develop reports that call for discretion and judgment; replying to inquiries, presenting or requesting information.

Experience which demonstrates the ability to provide advice and guidance on complex issues,

Ability to quickly adapt to new processes and/ or Procedures.

Ability to conduct comprehensive and unbiased interviews of all parties in a claim.

Researching and interpreting Federal State Laws, status, rules and regulations and guidelines applicable to area of assignment: Conducting reserach and perform quality control review of case determinations: Determining Fraud Claims Determination date and redeterminations: Process Pseudo Claims. Maintain multiple Google spreedsheets such as Client Advocate/ ID Theft PRR Sheet/ Backlog Sheet/ Integrity Emails/ ID Theft/ DSO/ Other Issues: Knowledge in Pandemic Unemployment Assistance Program and the Guide program for Regular Unemployment Benefits. Completed the NASWA Trainging of Fundamentals for Fraud Investigations, Interviewing and Investigations Basics.

Researching and Interpreting Federal and State Laws, Statues, rules, regulations and guidelines applicable to area of assignment: Conducting research and perform quality control review of case determinations, makes assessments and prepare reports applicable to assigned program area: Case management: problem identification and resolutions: Excellent verbal and written. Review, analyze assess and maintain database information develop and maintain interpersonal relationship's: resolve issues, provide information to claimants and employers: Evaluate and manage cases: establish and maintain effective working relationships, AJC system knowledgeable, Special Programs, Client advocate, OLS, 1099 Reconsiderations and Dispute, Identification Verification and fraud.