Fraud Investigator II

Virginia Department of Social Services • Stevensburg, VA

8d • $35,138 - $80,000

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
• Working knowledge of public assistance programs
• Working knowledge of legal proceedings
• Working knowledge of collection methods
• Working knowledge of self-defense
• Working knowledge of public assistance program policies and regulations
• Working knowledge of terminology and related professional languages used within the department as such pertains to work responsibilities
• Working knowledge of applicable laws, codes, policies and procedures, including civil and court procedures
• Working knowledge of basic human behavior
• Working knowledge of social problems and resources
• Skill in operating a personal computer and the associated office and agency software
• Demonstrated ability to communicate effectively both orally and in writing
• Demonstrated ability to perform addition, subtraction, multiplication, and division
• Demonstrated ability to calculate overpayments and track payments
• Demonstrated ability to testify in court proceedings
• Demonstrated ability to train others
• Demonstrated ability to establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others
• Demonstrated ability to work independently
• Demonstrated ability to analyze data, recognize gaps and collect information
• Demonstrated ability to draw legal and supportable conclusions
• Demonstrated ability to prepare reports
• Demonstrated ability to apply principles of persuasion and/or influence
• Demonstrated ability to document data from interviews, forms, and documents
• Demonstrated ability to 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
• Valid Virginia driver’s license without restrictions and the driving record must meet agency standards on or before the hire date
• Meet a level of insurability set by the agency
• Submit to fingerprinting and provide personal descriptive information for a criminal history record check through the Central Criminal Records Exchange and a search of the Central Registry

Nice To Haves

• Bachelor’s degree in human service, or a related field
• Experience working in a Virginia Local Department of Social Services within the last year as a Fraud Investigator
• Minimum of two (2) years working knowledge and experience in one or more of the following Benefit Programs: Temporary Assistance for Needy Families (TANF), Supplemental Nutritional Assistance Programs (SNAP), Medical Assistance (MA), Energy Assistance (EAP), Child Care (CC)
• Experience utilizing the following computer systems: Accurint/LexisNexis, Integrated Revenue Management System (IRMS- State Tax Intercept), Electronic Disqualified Recipient System- USDA (eDRS), System Partnering in a Demographic Repository (SPIDeR), Virginia Case Management System (VaCMS), Document Management Imagining System (DMIS), Electronic Benefit System (-EBT.EPPIC), Data Warehouse

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 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
• Initiates collection actions to recover overpayments

Benefits

• Responsible for shelter duty during times of disaster
• May be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and/or pre-employment drug screen
• 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
• Employee must be willing to work in the community emergency shelter in the event of a natural disaster or emergency

What This Job Offers

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