Eligibility Specialist

Lewiston, ME Full-time

Application closes: Dec. 13, 2019
Opening Date: November 27, 2019

Closing Date:  December 13, 2019     

Job Class Code: 5073
Grade: 19 (Professional & Technical Services)
Salary: $16.42-$21.94/Hourly
Position Number: 02022-7383 and 02022-7715


Only Employees with Promotional Status in the Department of Health and Human Services May Apply


Agency information:

The Department of Health and Human Services (DHHS) provides supportive, preventive, protective, public health and intervention services that safeguard the public health and assists our customers in meeting their needs. The Office for Family Independence(OFI) is responsible for administration of eligibility determination for a number of programs, including MaineCare, Temporary Assistance for Needy Families (TANF), Food Supplement and Child Support.

Job duties:

 The position of Eligibility Specialist determines initial and continued eligibility for public assistance programs. The position may also perform quality control work by reviewing eligibility decisions made by others. Work is done in a fast-paced environment that has high standards for customer service and program accuracy. The position gathers sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with people from different walks of life and/or in various emotional states. Much of the work is done in a call center atmosphere.  

 Typical Duties:

  • Interview clients, obtains and assesses all necessary facts, data, supporting information, and documentation pertaining to the application or recertification for public assistance.
  • Evaluate information and applies allowable standards and criteria.
  • Explain program eligibility requirements, rules, regulations and individual rights and responsibilities to clients.
  • Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data.
  • Answers inquiries and refers clients to various programs.
  • Identifies potential benefit overpayments, assesses cause for overpayment and makes referrals for recovery of benefits.
  • Identifies potential fraud and refers to the Fraud Investigation Recovery Unit.
  • Accurately enters data into an automated system and ensures accurate eligibility results.
  • Communicate verbally and in writing with clients, co-workers and other agencies.
  • Perform intermediate mathematical calculations.
  • Maintain confidentiality of all applicant and recipient information.


To qualify, you must have a four (4) year combination of education, training, and/or experience in providing direct assistance to individuals or groups or deciding client eligibility in a business, legal or social services setting which demonstrates interviewing and data gathering skills to form judgments in eligibility determinations, claims resolution, transaction processing, insurance coverage and/or customer service requests - OR - a Bachelor’s Degree in social services, public or business administration, or other related fields.


For additional information about this position please contact Lee Freeman, Recruitment & Retention Specialist at (207) 624-4191 or by email at recruitment.ofi@maine.gov.  To apply, please upload a recent resume, cover letter, and transcript (transcript needed only if education is used to meet the minimum qualifications).  To request a paper application, please contact Ashley Smith at Ashley.Smith@maine.gov.


Value of State’s share of Employee’s Retirement: 14.47% of pay   
Value of State-paid Dental Insurance:  $14.31 biweekly

Value of State-paid Health Insurance*:

Level 1:  100% State Contribution = $461.75 biweekly (employee pays nothing)
Level 2:  95% State Contribution = $438.66 biweekly (Employee pays: 5%)
Level 3:  90% State Contribution = $415.58 biweekly (Employee pays: 10%)
Level 4:  85% State Contribution = $392.49 biweekly (Employee pays: 15%)
*The level of actual value of state paid Health Insurance will be based on employee’s wage rate and status with regard to the health credit premium program as of July 1, 2019.


The Department of Health and Human Services is an Equal Opportunity/Affirmative Action employer.  We provide reasonable accommodations to qualified individuals with disabilities upon request.