Functional Lead - Claims

Seeking a Labor Functional Lead with 7+ years of UI/DI/PFL program expertise to lead functional requirements, data conversion, validation, and reporting for claims system modernization. Responsibilities Define conversion scope and business rules, validate source-to-target mappings, and determine which claims, balances, and in-flight transactions to convert, archive, or retire. Translate program policies, California Unemployment Insurance Code, and federal DOL requirements into data requirements, user stories, and acceptance criteria. Lead UAT, conversion validation, payment reconciliation, defect triage, and go/no-go sign-off criteria. Define dashboards, analytic datasets, and federal reporting requirements covering program performance, fraud, timeliness, and workload. Serve as the business data steward, establishing data definitions, ownership, quality thresholds, and PII/FTI handling requirements. Qualifications Prior California EDD or other state workforce agency experience strongly preferred 7+ years of experience with Unemployment Insurance (UI), Disability Insurance (DI), and Paid Family Leave (PFL), including claims intake, eligibility, benefit calculations, appeals, overpayments, and employer accounts/tax processing. Hands-on knowledge of legacy and modern claims platforms, claim lifecycles, business rules, status codes, and payment workflows. Experience leading functional data conversion, requirements documentation, UAT, and financial reconciliation. Familiarity with federal reporting, including ETA 9050 series, 586, and 218, and data governance requirements. . #J-18808-Ljbffr Raval West