Investigator II

State of Delaware•Dover, DE

About The Position

The Investigator II supports Delaware's Paid Family and Medical Leave insurance program, established under the Healthy Delaware Families Act. The role serves as a primary point of contact for claimants and helps ensure claims are handled efficiently, fairly, and in compliance with the Act and applicable regulations. The position investigates and resolves claim issues, discrepancies, and claimant concerns; maintains accurate records; reviews claims to verify eligibility; and identifies potential fraud. Success requires strong customer service and organizational skills, the ability to manage a high-volume caseload, attention to detail, proficiency with automated systems, and a commitment to equitable and consistent program administration. The role conducts investigations of alleged or probable violations and compliance issues; gathers, verifies, and analyzes evidence and information; interviews relevant parties; explains and enforces applicable requirements; evaluates facts and recommends or takes appropriate action; and uses automated information systems and other technology to research and document investigative information. It documents interactions, prepares investigative reports, and may present evidence or testify in proceedings. Depending on assigned cases, duties may also include surveillance, undercover investigations, on-site inspections, arrests, obtaining search warrants, responding to hotlines, and recommending subpoenas. Applicants must be legally authorized to work in the United States. New hires must attend Statewide New Employee Orientation on their first day, and a satisfactory criminal background check is required as a condition of hire. The State of Delaware Executive Branch participates in the Federal E-Verify system.

Requirements

One year of experience conducting investigations, which may include interviewing people to obtain confidential information, gathering evidence, and documenting findings.
One year of experience collecting, evaluating, and analyzing relevant information to make recommendations concerning alleged or probable violations of state or federal laws, rules, and regulations.
One year of experience providing clear, prompt, and accurate information to respond to and resolve complaints.
Six months of experience in civil, criminal, or administrative proceedings, such as providing testimony before boards, commissions, or authorities; preparing evidence or sworn statements; or managing and prioritizing cases.
Applicants must be legally authorized to work in the United States.
A satisfactory criminal background check is required as a condition of hire.
New hires are required to attend Statewide New Employee Orientation on their first day of employment.

Responsibilities

Investigate alleged or probable violations and compliance issues by identifying, obtaining, verifying, and analyzing relevant information or evidence.
Collect, control, and evaluate physical, financial, background, documentary, and other evidence.
Develop questions and interview witnesses, complainants, victims, claimants, and other parties to obtain information and ascertain facts.
Review claims to verify eligibility and investigate and resolve claim issues, discrepancies, claimant concerns, and potential fraud.
Interpret and explain applicable state and federal laws, rules, regulations, standards, policies, and procedures, and ensure compliance.
Evaluate available facts, make judgments, recommend appropriate action to authorities, commissions, or technical supervisors, and take enforcement action when necessary.
Use commercial and proprietary automated information systems, computer software, and the internet to research, document, verify, and report investigative data and related information.
Document calls, emails, inquiries, interviews, and other interactions, and respond to hotlines when assigned.
Prepare and submit investigative reports that clearly and accurately document findings, supporting facts, and actions taken.
Testify and present evidence before boards, commissions, administrative bodies, or courts.
Provide excellent customer service to internal and external customers and the public in person, electronically, or in writing.
Communicate and interact effectively with people across cultures and differences in ability, gender, ethnicity, age, and race.
Conduct surveillance, undercover investigations, and on-site inspections on assigned cases when needed; make arrests or obtain search warrants pertaining to an investigation when necessary.
Recommend subpoenas for information when appropriate.