FRAUD INVESTIGATIONS AGENT

State of Illinois•Rockford, IL

18h•Onsite

About The Position

The Illinois Department of Employment Security (IDES) is seeking an organized, professional, and results oriented individual to serve as a Fraud Investigations Agent. Responsibilities include performing highly complex investigations to assess the propriety of unemployment benefit payments, conducting intensive investigatory interviews, preparing decisions which set forth provisions of the state and/or federal law violated and the application of penalties, and reviewing appealed decisions. This position provides a great opportunity for someone who has a strong knowledge of unemployment insurance (UI) benefit payments based upon the criteria contained in laws and policies of the State of Illinois and the Department of Labor (DOL) and is dedicated to ensuring compliance with state and federal regulations. The ideal candidate for this position will have experience performing audits on unemployment insurance benefit claims and explaining and interpreting unemployment insurance (UI) laws, rules, and regulations. IDES offers a competitive compensation plan, excellent benefits, and a pension program. We invite you to join our innovative team to help make a positive difference in the lives of Illinois employers and job seekers. The Illinois Department of Employment Security’s (IDES) mission is to serve Illinois workers and employers to the best of our ability and to use our knowledge of the Illinois workforce to inform sound policy decision making. IDES encourages economic growth and stability in Illinois by providing vital Employment Services to Illinois residents and employers, analyzing, and disseminating actionable Labor Market Information, and administering Unemployment Insurance programs.

Requirements

Knowledge, skill, and mental development equivalent to completion of four (4) years college with major courses in Business Law and Business Administration
Three (3) years of local office professional investigative experience performing major adjudication work involved in the fact-finding process
Requires an Illinois State Police background check and self-disclosure of any criminal history
Requires ability to travel in the performance of duties, with overnight stays as appropriate
This position is considered sedentary work as defined by the U.S. Department of Labor (20 CFR404.1567(a)). Sedentary work involves lifting no more than 10 pounds at a time and requires occasionallifting, carrying, walking, and standing
Requires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties
This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest.
All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission.

Nice To Haves

Experience performing audits on unemployment insurance benefit claims
Experience explaining and interpreting unemployment insurance (UI) laws, rules, and regulations

Responsibilities

Serves as a Fraud Investigations Agent for the Illinois Department of Employment Security (IDES)
Performs audits on unemployment insurance benefit claims with potential fraud overpayments based on reports generated from the Department’s computerized systems, including but not limited to Microsoft Office Suite, Illinois Benefit Information System (IBIS) and the Illinois Benefit Payment Control (BPC) System, or as directed
Prepares for decisions by reviewing the file for completeness of supportive documentation, including but not limited to payroll records, certification, depositions, record of proper notice to all parties and handwriting exemplars
Prepares decisions stating the issue or issues involved, statement of relevant facts, summarization of material evidence and testimony, resulting in a conclusion and a decision which set forth provisions of the state and/or federal law violated, and the application of penalties as prescribed in the fraud provisions
At the conclusion of the investigation, explains the issues to all interested parties, including but not limited to claimants, employers, government agencies and the general public, in writing
Obtains and coordinates utilization of evidence with other Illinois Department of Employment Security (IDES) staff and/or state and/or federal government agencies
Maintains systems to track and monitor appeals of Benefit Payment Control (BPC) decisions and investigative case file materials for appeals, utilizing systems including but not limited to Microsoft Excel
Keeps abreast of changes to federal and state laws, rules and regulations related to unemployment benefit payments
Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above