Eligibility Review Worker - Investigations & Program Integrity

Role Responsibilities

Reporting directly to the Eligibility Review Team Lead and working within the Investigations and Program Integrity (IPI) Unit, the Eligibility Review Worker (ERW) conducts targeted compliance reviews, client file audits, risk assessments, and fraud prevention activities within the Ministry of Assisted Living and Social Services.

Key Responsibilities:

• Compliance & Eligibility Reviews: Deliver targeted compliance reviews and risk assessments on client files across major assistance programs (e.g., Income Support and Assured Income for the Severely Handicapped) to verify ongoing benefit eligibility and safeguard public funds.

• Client Interviews & Fact-Finding: Conduct objective, thorough client interviews and verify financial, personal, and administrative data to ensure all review files are legally sound.
  
  
• Data Analytics & System Audits: Utilize database case management systems and data analytics tools to evaluate eligibility criteria, detect system vulnerabilities, and identify risk trends.
  
  
• Case Management & Referrals: Maintain detailed case documentation, prepare objective case summaries, and make recommendations for overpayment recovery referrals or formal Requests for Investigation (RFIs) where non-compliance or fraud is identified.

• De-escalation & Client Relations: Professionally mediate and resolve escalated client inquiries or contentious eligibility disputes using de-escalation techniques.
  
  

To be successful in this role, the candidate must possess:

• Decision-making ability grounded in sound judgment, fairness, professionalism, and initiative.
• Proven ability to work independently with strong organizational skills to prioritize high file volumes and maintain effective case management.
• Highly developed written and verbal communication skills to write operational summaries and represent the unit professionally.
• Strong interpersonal and active listening skills with a track record of resolving conflict and de-escalating confrontational situations.
• Adaptability and resilience when working under tight timelines and evolving policy or legislative frameworks.

The Job Description is provided for further details on this position.

APS Competencies

Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.

• Systems Thinking: Regularly works with Assisted Living and Social Services members and Supervisors to confirm and clarify information.
• Creative Problem Solving: Identifies areas for improvement and provides recommendations. Shares interpretation and/or opinions in a clear concise manner and is open to feedback.
• Agility: Works independently, managing a caseload, prioritizing and ensuring continued progression on each. Continuously reviews and evaluates processes while ensuring program integrity is maintained.
• Build Collaborative Environments: Collaborates with direct report, colleagues and other ministry members to assess and evaluate situations, implement plans and outcomes.

Qualifications

University graduation in a related field; no experience required.

Equivalency: Directly related education or experience considered on the basis of:

• 1 year of education for 1 year of experience;
• 1 year of experience for 1 year of education.

Required Technical Competencies:

• Analytical & Auditing Aptitude: Operational experience with compliance verification, risk trend analysis, and database case management tools.
• Communication & Conflict De-escalation: Proven ability to draft clear case reports and de-escalate high-tension client or stakeholder interactions.

Assets:

• Direct program experience with Income Support, and Assured Income for the Severely Handicapped AISH/ADAP (Alberta Disability Assistance Program).
• Knowledge of related provincial legislation (Persons with Developmental Disabilities (PDD) Act, Family Support for Children with Disabilities (FSCD) Act, Emergency Management Act)

Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification.

Notes

Hours of work : 36.25 hours per week, Monday to Friday.

•    This competition will be used to fill multiple permanent full-time positions in Edmonton and Calgary.

Cover Letter Requirement: A cover letter must accompany your application clearly demonstrating how your education and experience relate to the requirements of the role.

Final candidates will be required to undergo a criminal records check (CRC).

Any costs associated with obtaining the required documents/checks as noted or interview travel expenses, will be the responsibility of the candidate. Out-of-province applicants can obtain the required documents/checks from the province they currently reside in.

Links and information on what we have to offer:

• Working for the Alberta Public Service.
• Public Service Pension Plan (PSPP)  
• Alberta Public Service Benefit Information.
• Professional learning and development.
• Research Alberta Public Service Careers tool.
• Positive workplace culture and work-life balance.