Vacancy Description
Job Description
Job Summary
Assess and adjudicate claims and revenue-related files to ensure compliance with program rules and policies. Conduct investigations, resolve discrepancies, and communicate outcomes to claimants and stakeholders.
Number of Positions
1
Main Duties
- Assess eligibility and process claims by verifying documentation, income records, and supporting evidence.
- Review financial records, payroll, tax and benefit data to identify discrepancies and determine entitlements or obligations.
- Conduct investigations into suspected overpayments or fraud, including evidence gathering and interviewing relevant parties.
- Calculate recoveries, arrange repayment plans, and coordinate with other agencies or departments for collection and enforcement actions.
- Provide clear guidance and information to claimants, employers, and stakeholders regarding program requirements, appeals, and obligations.
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