Internal : Fraud Investigator

The primary purpose of the Investigator 2 position is to prepare public assistance fraud cases for scheduled prosecution and testify in civil and criminal court proceedings. In addition, the employee conducts in‑house and/or field investigations to gather information, evidence and verifications to substantiate allegations of public assistance fraud and refer cases for county conference, state hearing, collections in small claims court, and/or to in‑house legal staff and/or county prosecutor for repayment agreement, prosecution or program disqualification.

The employee may also be involved in reviewing and responding to public assistance case information for determination of benefit recovery.

• 55% Receives referrals of suspected fraud from staff, computer matches, citizens or employers. Conducts field investigations of complaints received from internal and external sources concerning alleged violations by public assistance recipients for the public assistance programs of SNAP, cash assistance, Medicaid, Child Care, and PRC. Processes non‑fraud cases and reviews over payment referrals from staff, determining those that require further investigation for intentional program violation and/or prosecution, and for collection.
• 35% Conducts interviews with recipients in office or in home to obtain voluntary agreement of repayment or prepares cases for grant reduction and obtains verifications. Interviews participants and witnesses to resolve discrepant information. Prepares complete, accurate and concise investigative reports. Prepares administrative subpoenas. Conducts investigative interviews with public assistance recipients and referral sources. Assists with prioritizing cases for prosecution or intentional program violation.
  
  Computes budgets and determines eligibility for all public assistance programs. Attends conferences, workshops, training sessions and staff meetings to give and exchange information pertaining to public assistance programs.
• 10% Performs other related duties as required.

• One year of experience as Investigator 1, 30141 or in a similar position.
• Completion of a two‑year technical program in psychology, social work, criminology, law enforcement or a related field. Also requires one year of experience in a position in client services involving the determination of client eligibility for public assistance programs and/or in conducting investigations of public assistance fraud or benefit recovery.
• Or three years experience in a position in client services involving the determination of client eligibility for public assistance programs and/or in conducting investigations of public assistance fraud or benefit recovery.
• One course or six months experience in interviewing techniques, one course or six months experience in typing/keyboarding/word processing, one course or six months experience in business mathematics, one month experience in criminal investigations, one course or six months experience in case preparation techniques, one course or six months experience in criminal court process and procedures, and one course or six months experience in techniques of writing.
  
  Also requires one year of experience in a position in client services involving the determination of client eligibility for public assistance programs and/or in conducting investigations of public assistance fraud or benefit recovery.
• Or education, training and/or experience in an amount equal to the Minimum Qualifications stated above.

The position requires little or no unusual physical effort. May occasionally walk, stand, bend, drive automobile, or carry materials weighing less than five pounds. Irate clients and other persons contacted during the course of the investigation could possibly present hazards. However, problems occur infrequently.