Program Worker II - Fraud

• Fraud investigations require gathering objective evidence before making any determination. Describe the investigative methods you would use to collect, verify, and document evidence while ensuring your findings are fair, impartial, and supported by policy.
• Describe the investigative methods you would use when reviewing a potential fraud referral. How would you gather and evaluate evidence to determine whether additional investigation is warranted?

Position Information

Working Title of Vacant Position

Job Type

Job Type Full Time

Posting Type

Posting Type Public

Number of Vacancies

Number of Vacancies 1

Department

Department HUMAN SVCS

Division

Division HS-SOCIAL SERVICES ADMIN

Requisition Number

Requisition Number 2026324

Number of hours worked per week

Number of hours worked per week 40

Work Schedule

Monday – Friday 8 am – 5 pm
.
Employees may be expected to work hours in excess of their normally scheduled hours in response to short-terms department needs and/or City-wide emergencies.

Work Site Location

Work Site Location Chesapeake, Va. (100 Outlaw Street)

Position Driving Requirement

Position Driving Requirement O - Occasional

Pay Grade

Pay Grade GE09

Pay Basis

Pay Basis Semi-Monthly

Advertised Salary

$50,607/ annually
Starting salary based on qualifications and experience

Job Description

Benefits Program Worker II – Fraud Investigator
The purpose of the position is to assist and support Chesapeake citizens in obtaining services provided by public and private agencies, and/or perform quality control for area of responsibility. The position is responsible for quality control and/or client assessment, investigating fraud, calculating over payments, initiating Administrative or Court Action on all Intentional Program Violations, establishing over payment and overseeing collections referrals, eligibility determination for financial and medical assistance, service delivery, and reporting.

The position works within a general outline of work to be performed; develops work methods and sequences under general supervision.

ESSENTIAL TASKS :

• Receives, evaluates and tracks allegations of suspected fraud;
• Conducts an inquiry and investigation into the allegation in an effort to determine intent or no intent on the part of the client in all program areas;
• Calculates over payments when the over payment is discovered through a fraud investigation.
• prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule
• Reviews all new policy and procedures; and stays a breast of federal, state, and local guidelines and regulations for area of responsibility.
• Interviews customer and conducts assessment of eligibility for services; explains available programs and services; assists with completion of application process.
• Dictates narrative of case; completes computer forms to establish case on various computer systems; analyzes available information and determines and recommends client eligibility.
• Examines public assistance records/cases for completeness and accuracy; reviews accounts payable to ensure accuracy and timeliness of assistance payments.
• Performs routine office tasks such as typing correspondence, data entry, filing, telephoning, faxing, and photocopying; maintains record system for area of responsibility.
• Attends staff, team, committee, and other professional meetings to exchange information; meets with general public and community organizations to discuss programs for area of responsibility.

• Receives referrals of suspected fraud form program workers and other sources including community complaints…