INVESTIGATION SPECIALIST I (OPBI) - 60057479

State of Florida•Jacksonville, FL
•Onsite

About The Position

The Investigation Specialist I works in the Benefit Recovery Program within the Florida Department of Children and Families’ Economic Self Sufficiency Program, Office of Public Benefits Integrity. The position investigates, calculates, and recovers overpayment claims involving Temporary Cash Assistance, Food Assistance, Medicaid, and Refugee Assistance. Cases may arise from pre-eligibility or eligibility investigations, community complaints, or referrals from eligibility staff. The incumbent needs detailed knowledge of program eligibility processes and procedures and expertise with the system of record and other online systems. The role ensures the Benefit Recovery Program is administered in accordance with federal, state, and regional policies. This is a full-time, 40-hour-per-week position. It is not a telework position; the selected candidate works at the closest available office location. Business hours are 8:00 a.m. to 5:00 p.m. Eastern Time, Monday through Friday. As a member of the DCF D-SNAP Disaster Response team, the incumbent may be required on short notice to perform duties and travel in support of disaster relief, and may work more than eight hours per day during such events.

Requirements

  • Must be a current Department of Children and Families employee or have been employed by DCF within the past 12 months.
  • Must have at least 12 months of current Florida DCF Economic Self Sufficiency experience within the past 24 months determining and processing eligibility applications for government assistance programs, including Temporary Cash Assistance, Food Assistance, Medicaid, and Refugee Assistance.
  • Knowledge of public assistance program objectives and policies.
  • Knowledge of problem-solving techniques, training principles and practices, goal-setting techniques, and arithmetic.
  • Skill in operating a personal computer.
  • Ability to conduct fact-finding interviews; accurately prepare and maintain records and reports; work with diverse people and adapt to change; remain calm and effective in high-stress situations; compose documents or correspondence involving technical information; perform complex arithmetic; interpret and apply regulatory materials; prioritize and meet deadlines; establish and maintain effective working relationships; communicate effectively orally; and apply ethical business practices.

Nice To Haves

  • At least 24 months of State of Florida Economic Self Sufficiency experience.
  • Office of Public Benefits Integrity experience.
  • Experience monitoring or reviewing cases for accuracy and correct application of Food Assistance, Cash Assistance, and/or Medicaid policy.
  • Proficiency with the FLORIDA system and Microsoft Office Suite.

Responsibilities

  • Investigate referrals for potential overpayments arising from fraud, inadvertent household error, or agency error in a timely manner.
  • Analyze cases and investigative findings using program policies and procedures to determine liability and the reason for an overpayment.
  • Establish overpayment claims accurately and calculate amounts eligible for recoupment under applicable federal and state laws and public assistance policies.
  • Complete referral reviews and claims in accordance with current program requirements.
  • Take timely and appropriate corrective action on identified errors through the Quality Management System, management evaluation reviews, and quality control reviews.
  • Review available information and initiate telephone contacts when needed to validate information or respond to customer inquiries.
  • Answer general telephone inquiries and exchange information with other agencies and Department staff.
  • Assist customers and providers with questions or concerns about overpayments.
  • Represent the Department in Fair Hearings or State Attorney cases as assigned.
  • Attend and participate in supervisory conferences, meetings, trainings, work groups, and quality initiatives as appropriate.
  • Perform other related duties as assigned.
  • As a member of the D-SNAP Disaster Response team, perform duties and travel in support of disaster relief when required, including on short notice.
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