Fraud Investigator II

Virginia Department of Social Services • Surry, VA

6d

About The Position

General Work Tasks (Illustrative Only) –
Receive, evaluate and track allegations of suspected fraud.
Conduct an inquiry and investigation into the allegation to determine intent or no intent on the part of the client in all program areas.
Determine an Administrative Disqualification or refer to the Commonwealth's Attorney Office.
Calculate overpayments when the overpayment is discovered through a fraud investigation.
Train other staff in fraud prevention and detection and may provide guidance.
Work with law enforcement to prepare cases for trial; Testify in court, as needed.
Prepare reports.
Review all new policy and procedures.
Maintain Fraud Free database tracking system.
Initiate collection actions to recover overpayments.
Knowledge- Working knowledge of investigative techniques; public assistance programs; legal proceedings; collection methods; self-defense; public assistance program policies and regulations; terminology and related professional languages used within the department as such pertains to work responsibilities; applicable laws, codes and procedures, including civil and court procedures; basic human behavior; and social problems and resources.

Skills- Skill in operating a personal computer and the associated office and agency software.

Abilities- 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.

Minimum Qualifications:
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.

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 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.

Nice To Haves

• Experience testifying in court
• Experience gathering and preparing evidence for court and investigation
• Experience calculating overpayments and determining/recovering loss.

Responsibilities

• Receive, evaluate and track allegations of suspected fraud.
• Conduct an inquiry and investigation into the allegation to determine intent or no intent on the part of the client in all program areas.
• Determine an Administrative Disqualification or refer to the Commonwealth's Attorney Office.
• Calculate overpayments when the overpayment is discovered through a fraud investigation.
• Train other staff in fraud prevention and detection and may provide guidance.
• Work with law enforcement to prepare cases for trial
• Testify in court, as needed.
• Prepare reports.
• Review all new policy and procedures.
• Maintain Fraud Free database tracking system.
• Initiate collection actions to recover overpayments.

What This Job Offers

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