Eligibility Review Worker

Eligibility Review Worker - Investigations & Program Integrity

Job Information
Job Title: Eligibility Review Worker - Investigations & Program Integrity
Job Requisition ID: 87000
Ministry: Assisted Living and Social Services
Location: Edmonton or Calgary
Full or Part-Time: Full-Time
Hours of Work: 36.25 hours per week
Permanent/Temporary/Wage: Permanent
Scope: Open Competition
Closing Date: November 20, 2026
Classification: Program Services 2
Salary: $2,562.61 - $3,361.54 bi-weekly ($66,884 - $87,736/year)

The Alberta Public Service works to build a stronger province for current and future generations. We make a difference in the lives of Albertans through rewarding career opportunities.
The Ministry of Assisted Living and Social Services leadsincome, employment, disabilities and community-based supports, family violence preventionand family andcommunity support services. We're collaborating to improve the social inclusion of Albertans. For more information on the work of our Ministry, please visit: Assisted Living and Social Services

Division: Income Services
Branch: Investigations & Program Integrity (IPI) - Eligibility Review Team

The Investigations & Program Integrity branch is dedicated to safeguarding public funds, ensuring legislative compliance, and maintaining public trust in Alberta's social benefit programs. The Eligibility Review Team is responsible for the operational delivery of targeted compliance reviews, risk assessments, and complex data-driven fraud prevention initiatives across major assistance programs, ensuring that benefits are delivered accurately and fairly to eligible Albertans.

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.

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 relate