Benefit Programs Specialist II

City of Virginia Beach•Virginia Beach, VA

35d

About The Position

The City of Virginia Beach Department of Human Services is seeking a talented Benefit Program Specialist II - Human Services Fraud Investigator. This candidate will perform tasks related to the determination of eligibility for benefit programs; implement effective caseload management techniques; assess the customer's need for services; participate in staff and program development; and serve as a lead worker within a unit. Duties: Research and investigate suspected fraud cases; interview Benefit Programs Specialists, Supervisors, and customers to gather case information; determines overpayments and whether intent to defraud exists. Prepare summary reports of facts for fraud and overpayment; contact employers, creditors, landlords, and others to gather information in support of the suspected fraud case. Represent the agency in Administrative Disqualification Hearings (ADH), court prosecutions, and appeals and take appropriate action as required; respond to state, federal and internal case review inquires. Review and maintain program procedural manuals. Prepare summaries for the Commonwealth Attorney’s decision to prosecute or seek resolution; presents evidence to the grand jury for the purpose of obtaining indictments, prepares witnesses for court appearances, represents the agency as witness for the prosecution and testifies in court. Initiate voluntary repayment plans to recover funds from overpayments; perform extensive calculations for the amount of overpayment by program category; enter data into state and local computer system and perform necessary inquires, system searches and updates to coordinate related information. Attend in-service and other training sessions and conferences and may represent the agency on committees or task force groups. Develop and maintain rapport with customers, other organizations and the general public.

Responsibilities

Research and investigate suspected fraud cases
Interview Benefit Programs Specialists, Supervisors, and customers to gather case information
Determine overpayments and whether intent to defraud exists
Prepare summary reports of facts for fraud and overpayment
Contact employers, creditors, landlords, and others to gather information in support of the suspected fraud case
Represent the agency in Administrative Disqualification Hearings (ADH), court prosecutions, and appeals and take appropriate action as required
Respond to state, federal and internal case review inquires
Review and maintain program procedural manuals
Prepare summaries for the Commonwealth Attorney’s decision to prosecute or seek resolution
Present evidence to the grand jury for the purpose of obtaining indictments
Prepare witnesses for court appearances
Represent the agency as witness for the prosecution and testifies in court
Initiate voluntary repayment plans to recover funds from overpayments
Perform extensive calculations for the amount of overpayment by program category
Enter data into state and local computer system and perform necessary inquires, system searches and updates to coordinate related information
Attend in-service and other training sessions and conferences and may represent the agency on committees or task force groups
Develop and maintain rapport with customers, other organizations and the general public