Fraud Investigator II - Frederick County, VA

Virginia Department of Social Services • Winchester, VA

2d

About The Position

The Fraud Investigator II is the full performance level for employees that are responsible for investigating fraud, calculating overpayments, initiating Administrative or Court Action on all Intentional Program Violations, establishing overpayment and overseeing collections. The Fraud Investigator II is distinguished from the Fraud Investigator Supervisor in that the supervisor spends a majority of time in supervisory activities such as handling personnel issues, problems, and evaluating the work of others.

Requirements

• Working knowledge of: investigative techniques; public assistance programs; legal proceedings; financial collection methods; public assistance program policies and regulations; terminology and related professional languages used within the department as such pertains to work responsibilities; applicable laws, codes, policies and procedures, including civil and court procedures; basic human behavior; and social problems and resources.
• Skill in operating a computer and the associated office and agency software.
• Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; train others; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others; work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule.
• High School diploma supplemented with work experience and/or training involving human services program eligibility or case management work and some legal work, which includes court involvement, researching criminal citations and investigative techniques and testimony OR any equivalent combination of training and experience which provides the required knowledge, skills and abilities.
• Applicants may be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and fingerprinting.
• The investigation may include: fingerprint checks (State Police, FBI), local agency checks, employment verification and references, verification of education (relevant to employment), credit checks (relevant to employment) and other checks requested by the hiring authority.
• All offers of employment are contingent upon satisfactory results of the required checks and screenings.
• May be required to report for shelter duty during community disasters and/or emergencies.

Responsibilities

• Receives, evaluates and tracks allegations of suspected fraud; Conducts an inquiry and investigation into the allegation in an effort to determine intent or no intent on the part of the client in all county administered benefit program areas;
• Determines an Administrative Disqualification or refers to the Commonwealth's Attorney Office;
• Calculates overpayments when the overpayment is discovered through a fraud investigation;
• Trains other staff in fraud prevention and detection and may provide guidance;
• Works with law enforcement to prepare cases for trial;
• Testifies in court, as needed;
• Prepares reports;
• Reviews all new policy and procedures;
• Maintains Fraud Free database tracking system; and Initiates collection actions to recover overpayments.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED