Fraud Investigator

Government of the Virgin Islands
Hybrid

About The Position

Under the general supervision of the Director of Performance Reporting or designee within the Division of Family Assistance, this position is responsible for conducting investigations of alleged fraud cases in the Supplemental Nutrition Assistance Programs (SNAP) to determine if evidence exists or is sufficient to recommend disqualification from the program and/or prosecution. Work is reviewed through conferences and reports for compliance and adherence to established guidelines and policies.

Requirements

  • Bachelor of Arts in Criminology, Criminal Justice, Social Sciences or any closely related field, and one year of work experience dealing with investigations or collecting and analyzing facts.
  • OR High School Diploma or its equivalent and four (4) years of work experience as a Front-End Investigator, Quality Control Reviewer, Eligibility Worker, Probation Officer, Counselor, Corrections Officer, or any closely related field.
  • Knowledge of federal guidelines, rules, regulations, policies, and procedure.
  • Knowledge of department rules, regulations, policies, and procedures.
  • Knowledge of investigative techniques and procedures.
  • Knowledge of interviewing techniques.
  • Knowledge of the ethics of confidentiality
  • Knowledge of computer applications.
  • Knowledge of basic mathematics.
  • Ability to read, write, comprehend, and understand a system of procedures.
  • Ability to comprehend orally and in writing.
  • Ability to keep all information confidential
  • Ability to analyze and solve problems.
  • Ability to prioritize and meet deadlines.
  • Ability to prepare statistical and monthly reports.
  • Ability to deal with all persons contacted during work.

Responsibilities

  • Investigates customers case file manually or within a computer system to obtain facts, a general overview, and existing information about the case.
  • Conducts field work gathering all relevant information pertinent to the alleged complaint.
  • Interviews customers in-house or outside of office to gather information and other pertinent data pertaining to the alleged fraud.
  • Obtains evidence from potential witnesses identified in the investigation of the fraud case.
  • Informs customers of the Fraud Investigative Process at initial interview to advise customers of their rights.
  • Prepares, writes, and mails all documents and applicable paperwork to clients alerting them of alleged complaint and request interview.
  • Prepares a Report of Investigation (ROI) and submits to supervisor for review, approval, and signature.
  • Serves as a representative on behalf of the agency during, Administrative Disqualification Hearings (ADH) to present all pertinent facts gathered relevant to the disposition of the case.
  • Adheres to all agency confidentiality regulations and guidelines when managing client information.
  • Performs other related work as required.
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