Fraud Investigator I

Virginia Department of Social Services•Courtland, VA

About The Position

Fraud Investigator I is an entry-level role that works under close supervision while the employee is trained to investigate fraud involving various social services and government assistance programs. After a supervisor’s recommendation, director approval, and successful completion of the training program, the employee may be redefined as a full-performance Fraud Investigator II and become eligible for a pay increase under the local agency compensation plan. Fraud Investigator II performs assigned investigation duties independently and makes judgments in accordance with agency practices and procedures and applicable federal, state, and local laws and policies.

Requirements

  • High school diploma supplemented by work experience and/or training involving human services program eligibility, case management, or legal work, or an equivalent combination of training and experience providing the required knowledge, skills, and abilities.
  • Some knowledge of investigative techniques, public assistance programs, legal proceedings, collection methods, self-defense, public assistance program policies and regulations, applicable laws and procedures including civil and court procedures, basic human behavior, and social problems and resources.
  • Skill in operating a personal computer and associated office and agency software.
  • Ability to communicate effectively orally and in writing; perform basic arithmetic; calculate overpayments and track payments; testify in court proceedings; establish and maintain effective working relationships; work independently; analyze data, identify gaps, and collect information; draw legal and supportable conclusions; prepare reports; apply persuasion or influence; document information from interviews, forms, and documents; and organize a work schedule.

Responsibilities

  • Receive, evaluate, and track allegations of suspected fraud.
  • Conduct inquiries and investigations into allegations to determine whether a client had intent across program areas.
  • Determine whether to impose an Administrative Disqualification or refer a case to the Commonwealth's Attorney Office.
  • Calculate overpayments discovered through fraud investigations.
  • Prepare reports.
  • Review new policies and procedures.
  • Maintain the Fraud Free database tracking system.
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