Fraud & Recoupment Specialist

EquusHouston, TX
Onsite

About The Position

The Fraud & Recoupment Specialist supports program integrity by reviewing documentation, identifying potential fraud, waste, abuse, misrepresentation, and overpayments, and coordinating referrals to Board investigators. This position maintains case documentation, tracks fraud and recoupment activities, supports audits and compliance reviews, and helps ensure compliance with applicable program requirements while safeguarding public funds.

Requirements

  • Equivalent combination of education and relevant experience may be considered.
  • Three (3) years of experience in compliance, auditing, workforce development, quality assurance, case management, recoupment, or related functions preferred.
  • Experience working with WIOA or other federally funded programs preferred.
  • Valid driver's license, proof of automobile insurance, and an acceptable Motor Vehicle Record (MVR) are required.
  • Must maintain these requirements throughout employment and be able to travel locally as needed.

Nice To Haves

  • Bachelor's degree in Business Administration, Public Administration, Criminal Justice, Accounting, Finance, Human Resources, or a related field preferred.

Responsibilities

  • Review participant, employer, vendor, and program records to identify potential fraud, waste, abuse, misrepresentation, overpayments, and compliance concerns.
  • Collect, organize, and maintain documentation supporting fraud referrals and recoupment activities.
  • Prepare and submit fraud referrals and supporting case documentation to Board investigators.
  • Track, monitor, and maintain confidential records related to fraud referrals, investigations, and recoupment efforts.
  • Assist with the recovery of overpayments and improper payments in accordance with applicable policies and procedures.
  • Conduct file reviews and monitoring activities to ensure compliance with program requirements and contract standards.
  • Prepare reports and provide documentation for audits, monitoring reviews, and compliance assessments.
  • Identify trends, risks, and process improvement opportunities related to program integrity and fund recovery.
  • Educate staff on fraud prevention, compliance requirements, and documentation standards.
  • Perform other duties as assigned.

Benefits

  • All your information will be kept confidential according to EEO guidelines.
  • extensive learning opportunities
  • networking programs
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