Occ. Code 0204525

ASSOCIATE UNEMPLOYMENT INSURANCE INTERNAL SECURITY SPECIALIST, GRADE 23

New York State Department of Civil Service

Classification Standard

BRIEF DESCRIPTION OF CLASS  

Associate Unemployment Insurance Internal Security Specialists conduct the review and documentation of all aspects of Internal Security, which includes security measures and on-site monitoring and evaluation of security procedures in Department of Labor (DOL) local offices or central office.  These positions review and analyze unemployment insurance transactions, programs and operations to ensure the integrity and enhance the efficiency of the Unemployment Insurance Program.  Associate Unemployment Insurance Internal Security Specialists are classified only in the Department of Labor.  This class of positions is also established with a parenthetic that is described in the attachment to this standard for positions in the Unemployment Insurance Benefit Quality Control Unit of the Unemployment Insurance Divisions Adjudication Services Office.

DISTINGUISHING CHARACTERISTICS

ASSOCIATE UNEMPLOYMENT INSURANCE INTERNAL SECURITY SPECIALIST:  reviews and analyzes unemployment systems, operations, policies and procedures to prevent, detect and deter fraudulent unemployment insurance transactions; generates, reviews and evaluates leads provided by internal security activities, performs preliminary investigative reviews, prepares investigative reports on employee fraud, high profile and mass fraud cases and recommends new or enhanced operating procedures.  In addition, incumbents conduct risk analysis studies of unemployment insurance operations, policies and procedures; including benefit payments, tax collections and data processing systems to detect and prevent fraud, waste and abuse.  Incumbents rely heavily upon a body of knowledge of Federal and State laws, regulations and policies relating to unemployment insurance benefit administration and program oversight.  

RELATED CLASSES

An Assistant Chief of Unemployment Insurance (UI) Internal Security evaluates the day-to-day operations of the Inspector Generals Internal Security Office.  This individual evaluates policies, procedures and methods and makes recommendations to improve security and controls based on reviews conducted by Internal Security staff, agency produced operating reports, and the results of detection activities.  Additional duties include locating and preventing fraud, waste and abuse in all areas of the Unemployment Insurance Program, including central and local office, employer tax and benefit payment operations. 

            A Chief of Unemployment Insurance Internal Security is responsible for the overall planning, direction and coordination of the work of the staff in the Inspector Generals Internal Security Office in carrying out a coordinated approach to the development and implementation of comprehensive security controls to ensure the integrity of the unemployment insurance automated system.                                   

An Unemployment Insurance Program Manager 1 is responsible for the operation of the Unemployment Insurance Divisions Benefit Quality Control Unit. Responsibilities include management of various data collection systems developed by the U.S. Department of Labor to be administered in all states by a controlled sampling process to determine propriety of individual benefit payments and the UI systems overall accuracy and integrity, to encourage more efficient administration, and to improve program quality and solvency through error reduction. 

            Supervising Labor Services Representatives assigned to the Unemployment Insurance Benefits Quality Control Unit audit randomly selected unemployment insurance cases under the Benefit Accuracy Measurement (BAM) Program for conformance to law, precedent and policy.  This work includes review of both paid and denied Unemployment Insurance claims.  They also conduct Federal time-lapse and quality performance reviews under the Benefit Timeliness and Quality (BTQ) audit(s) program, at first or higher levels of review, and provide non-monetary determination (NMD) assistance and training to DOL staff.

ILLUSTRATIVE DUTIES  

When assigned to the Office of the Inspector Generals Internal Security Unit, Associate Unemployment Insurance Internal Security Specialists review unemployment insurance claims transactions to prevent fraud, waste and abuse in the administration of the Unemployment Insurance Program.  Incumbents generate, review and evaluate leads provided by internal security activities; perform preliminary investigative reviews; prepare investigative reports on employee fraud, high profile and mass fraud cases and recommend new or enhanced operating procedures.  Incumbents carry out these activities as follows:

• Conducts risk analysis studies of unemployment insurance operations, policies and procedures, including benefit payments, tax collections and data processing systems to detect, deter and prevent fraud, waste and abuse.

• Monitors current unemployment insurance transactions to identify potentially fraudulent claims.

• Reviews and evaluates computer cross match reports to identify overall trends regarding the potential for fraud.

• Performs a preliminary review of unusual and/or potentially fraudulent unemployment insurance transactions, identified by a computer cross match, to determine which claims warrant further review.

• Performs in-depth reviews of selected claims and develops preliminary investigative findings, as appropriate.

• Performs detailed background investigations related to employee fraud, high-profile and mass fraud cases.

• Develops and implements new fraud detection systems to protect the integrity of unemployment insurance data, systems, equipment and benefit(s) payments.

• Performs various activities to further internal security within the Unemployment Insurance Program as it concerns claimant and employee/employer fraud.

MINIMUM QUALIFICATIONS

Promotion:  one year of permanent service as:  

Senior Administrative Analyst, Senior Auditor, Senior Unemployment Insurance Hearing Representative, Senior Unemployment Insurance Investigator, Senior Unemployment Insurance Reviewing Examiner, Supervising Labor Services Representative and parenthetics, Unemployment Insurance Accounts Assistant Supervisor.

Attachment

NOTE:  Classification Standards illustrate the nature, extent and scope of duties and responsibilities of the classes they describe.  Standards cannot and do not include all of the work that might be appropriately performed by a class.  The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written.  Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.

PARENTHETIC ATTACHMENT

            Positions of Associate Unemployment Insurance Internal Security Specialist working in the Unemployment Insurance Divisions Benefit Quality Control Unit are classified with the following parenthetic:

ASSOCIATE UNEMPLOYMENT INSURANCE INTERNAL SECURITY SPECIALIST (QUALITY CONTROL): reviews controlled samples of unemployment insurance workload to assess program performance and to correct errors within the unemployment insurance benefit payment process; plans, organizes and directs staff in conducting audits of existing system performance and recommends the development and implementation of appropriate new or revised procedures in unemployment insurance benefit payment operations consistent with State and Federal standards.

            Incumbents perform specific tasks as follows:

• Supervise the conduct of either the Federal BTQ or Federal BAM Paid Claims and Denied Claims audits.

• Prepare various narrative, statistical and analytical reports of findings for each audit period.

• Recommend development of new or revised procedures and policies based on practical knowledge of unemployment insurance operations.

• Supervise central and field office professional staff who conduct BTQ and BAM program audits.

• Prepare and deliver training to Unemployment Insurance Benefit Quality Control Unit and Telephone Claims Center (TCC) staff.

• Supervise the data processing support necessary to maintain ongoing program of audit selection and reporting through Federal Department of Labor computer equipment and State software systems by recommending necessary modifications, updating, edits and data processing enhancements to fulfill audit needs and mandates and by working with Department of Labor information technology staff to ensure that such refinements are made.

MINIMUM QUALIFICATIONS

Promotion:  one year of permanent service as:

Senior Administrative Analyst, Senior Auditor, Senior Unemployment Insurance Hearing Representative, Senior Unemployment Insurance Investigator, Senior Unemployment Insurance Reviewing Examiner, Supervising Labor Services Representative and parenthetics, Unemployment Insurance Accounts Assistant Supervisor.

Date:  8/04