Insurance Jobs in Albuquerque, NM

Posting Details

The Unemployment Insurance (UI) Division is responsible for administering the state¿'UI program under the oversight of the United States Department of Labor (USDOL). This includes the collection of UI contributions/taxes from employers on a quarterly basis, and the distribution of unemployment compensation to New Mexicans who have lost their jobs through no fault of their own and meet various eligibility requirements. The Division executes these functions via robust self-service web services, as well as through staff assisted services via the UI Operations Center.

Background check is required for this position.

NMDWS participates in E-Verify.

Interviews for this position will be conducted within 10 business days of job posting closure.
Why does the job exist?

The core function of a BAM Quality Control investigator is to detect structural issues within the unemployment system. By comprehensively auditing representative samples of UI claims, investigators identify whether payments were underpaid, overpaid, or correctly issued. They trace the root causes of these errors, whether they stem from claimant fraud, employer misreporting, or agency processing mistakes and track solutions to prevent them from happening again
How does it get done?

Benefit Accuracy Measurement (BAM) Quality Control Investigator is responsible for auditing a statistically valid sample of Unemployment Insurance (UI) claims to ensure payments or denials conform strictly to federal and state laws. Unlike fraud investigators who chase specific tips, a BAM investigator uses a strictly controlled, random computer-selected sample to reconstruct the claim life cycle and identify systemic issues.

The key responsibilities include:

• Comprehensive Case Auditing: Reviewing random samples of both paid and denied UI claims to ensure that every step taken by the agency, employer, and claimant complied with policies.
• Verifying Eligibility Factors: Re-examining all core components of a claim, including the initial separation reason, base-period wages, weekly work searches, and availability for work.
• Employer and Claimant Outreach: Contacting claimants, past employers, and third parties (like financial institutions or career centers) to verify payroll records and work-search contacts.
• Gathering Evidence: Collecting official documentation, such as wage transcripts, tax records, and affidavits, to establish a definitive timeline and factual record of the claim.
• Determining Error Cause and Responsibility: For every investigation that was underpaid, overpaid, or improperly denied, the investigator establishes exactly who caused the error (claimant, agency, or employer) and why it occurred.
• Recalculating Benefit Amounts: Determining the exact dollar amount a claimant should have legally received versus what was actually paid out.
• Federal Database Coding: Logging detailed investigation results into the specialized U.S. Department of Labor automated data system.
• Statistical Maintenance: Adhering strictly to federal methodology manuals (such as ET Handbook No. 395) to preserve the integrity of the data used for state and national error-rate calculations.
• Corrective Action Planning: Compiling trends and data to help NMDWS develop state-wide training or implement system patches to prevent future recurring errors.

Who are the customers?

Individuals who have applied for Unemployment Insurance Benefits and USDOL.
Ideal Candidate

Individuals who have applied for Unemployment Insurance Benefits and USDOL.
Minimum Qualification

Associate Degree in Business Administration, Public Administration, or Accounting and one (1) year of directly related job experience in the areas of office administration, budgeting, purchasing, finance, accounting, auditing, cash management, contract management, and/or in the procedures of business and management principles involved in strategic planning. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) years may substitute for the required education and experience.
Employment Requirements

Must possess and maintain a valid Driver's License. Must possess and maintain a current Defensive Driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification within six (6) months of date of hire as a condition of continued employment.

Background check is required for this position.

NMDWS participates in E-Verify.
Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required.
Supplemental Information

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Agency Contact Information: Ruben Gutierrez Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.