Review Examiner I | Department of Family & Medical Leave DFML is looking for an organized and independent self-starter to facilitate the appeals process through research, analysis, and investigation. The Review Examiner I is responsible for conducting hearings on appeals of claims for agency services or benefits; for promptly preparing and implementing decisions on hearings conducted; for documenting information and evidence; for preparing reports, including decisions on hearings conducted; for reviewing appeals and, when possible, obtains additional evidence to resolve the appeal without the need of a hearing; and perform related work and other duties as required. Who we are DFML's mission is to implement and run the Commonwealth's Paid Family & Medical Leaveprogram that provides income support to Massachusetts workers and their families during significant life events while serving as a partner to employers to deliver program integrity. What you'd do The Review Examiner I, who reports to the Appeals Manager, is based in Boston, MAand is responsible for the following: Resolve 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. Review cases prior to and after the hearing to resolve any questions, obtain needed evidence/information necessary to dispose of pending appeals, or consult with agency staff to resolve problem. Uploads and data enters decisions into online system within a timely manner that is reasonable and attains the DFML guidelines for promptness. In accordance with M.G.L. Chapter 175M, 458 CMR 2.00, conducts administrative hearings in accordance with procedures prescribed by M.G.L. Chapter 30A and 801 CMR 1.02. Elicits sufficient evidence and testimony to resolve single party and other appeals involving less complex evidentiary and legal issues of agency determination regarding benefits. Writes clear and concise decisions, which contain findings of facts sufficient to support the ultimate findings and conclusion of law, which comply with statutory provisions, case law, and agency policy. Produces accurate written decisions verifying and ensuring proper form and conformance with data and procedures. Create and preserve 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 and operational goals. Prepare case management reports. Perform other related work as required. Why should you join DFML? You want to work for a place that values your contributions and ideas, moves quickly in implementing solutions, and at the same time, allows you the flexibility to have a good balance between your personal and professional life You will work with a dedicated team who are fueled by our mission of helping the people of the Commonwealth smoothly navigate our program during the big moments in their lives and will value you as both a coworker and as a person. Who you are We're seeking candidates who have: Great curiosity and judgment; motivated in pursuing/implementing better solutions when needed A commitment to diversity, equity, and inclusion in their work and workplace Flexibility and mission-driven issue spotting / problem resolution experience ? Ability to write concisely to express thoughts clearly and develop ideas in a logical sequence. Ability to understand, explain and apply the laws and rules governing the presentation and admissibility of evidence Knowledge of the methods of general report writing. Ability to understand, explain and apply the laws and rules governing the presentation and admissibility of evidence. Ability to understand, explain and apply the laws, rules, policies, procedures, etc. governing assigned unit activities. Ability to read and interpret legal documents such as decisions, briefs, and opinions. Ability to analyze and determine the applicability of data, to draw conclusions and making appropriate recommendations. Ability to gather information through questioning individuals. Ability to gather information by examining records and documents. Ability to assemble items of information in accordance with established procedures. Ability to determine the proper format and procedure for assembling items of information. Ability to write concisely, to express thoughts clearly and to develop ideas in logical sequence. Ability to maintain accurate records. Ability to prepare general reports. Ability to give written and oral instructions in a precise, understandable manner. Ability to communicate effectively in oral expression. Ability to make decisions and act quickly in stressful situations. Ability to exercise discretion in handling confidential information. Ability to exercise sound judgment. Ability to work independently. Ability to deal tactfully with others. Ability to establish and maintain harmonious working relationships with others. This position follows a hybrid model and currently reports in office one day a week. Selected candidates will be expected to report to our Boston office on their first day; positions will remain remote until further notice and then will follow a hybrid model. First consideration will be given to those applicants that apply within the first 14 days. 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. Comprehensive Benefits 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. Want the specifics? Explore our Employee Benefits and Rewards! 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. Job: Administrative Services Organization: Department of Workforce Development Title: *Review Examiner I Location: Massachusetts-Boston-100 Cambridge Street Requisition ID: 250008AY
