Functional Lead Claims Management, Rate $65/Hr on C2C, Sacramento, CA, Hybrid Project.

Role Title:

Labor Functional Lead Required

Skills: UI/DI/PFL program expertise (7+ years): Deep knowledge of claims intake, eligibility determination, benefit payment calculation, appeals, overpayments, and employer account/tax processing. Prior EDD or other state workforce agency experience strongly preferred. Claims management system knowledge: Hands-on experience with legacy and modern integrated claims platforms, including claim lifecycle, business rules, status codes, and payment workflows. Data conversion functional leadership: Experience defining conversion scope and business rules, validating source-to-target mappings with data engineers, and determining which records convert, archive, or retire (open vs. closed claims, historical balances, in-flight transactions). Requirements and business rules documentation: Ability to translate program policy, California Unemployment Insurance Code, and federal DOL requirements into clear data and reporting requirements, user stories, and acceptance criteria. Testing and reconciliation: Experience leading UAT, conversion validation, and financial/payment reconciliation, including defect triage and sign-off criteria for go/no-go decisions. Analytics and reporting requirements: Familiarity with key program metrics and federal reporting (ETA 9050 series, 586, 218, and similar), plus fraud/program integrity, timeliness, and workload measures used to define dashboards and analytic datasets. Data stewardship and governance: Understanding of PII/FTI handling, data ownership, data definitions, and quality thresholds, and the ability to serve as the business data steward during conversion.