Fraud Investigator II

Title Description
- The Fraud Investigator II is the full performance level for employees that are responsible for investigating fraud, calculating over payments, initiating Administrative or Court Action on all Intentional Program Violations, establishing over payment and overseeing collections. The Fraud Investigator II is distinguished from the Fraud Investigator Supervisor in that the supervisor spends a majority of time in supervisory activities such as handling personnel issues, problems, and evaluating the work of others.

Hiring Range:$35,

General Work Tasks (Illustrative Only) –

• 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;
• Determines an Administrative Disqualification or refers to the Commonwealth's Attorney Office;
• Calculates over payments when the over payment is discovered through a fraud investigation;
• Trains other staff in fraud prevention and detection and may provide guidance;
• Works with law enforcement to prepare cases for trial;
  Testifies in court, as needed;
• Prepares reports;
• Reviews all new policy and procedures;
• Maintains Fraud Free database tracking system; and
• Initiates collection actions to recover over payments.

Knowledge, Skills, and Abilities:
Knowledge-

Working knowledge of: investigative techniques; public assistance programs; legal proceedings; collection methods; self-defense; public assistance program policies and regulations; terminology and related professional languages used within the department as such pertains to work responsibilities; applicable laws, codes, policies and procedures, including civil and court procedures; basic human behavior; and social problems and resources.

Skills-

Skill in operating a personal computer and the associated office and agency software.

Abilities-

Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate over payments and track payments; testify in court proceedings; train others; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others; work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence;

document data from interviews, forms, and documents; and organize own work schedule.

Minimum Qualifications:

Education and Experience -

High School diploma supplemented with work experience and/or training involving human services program eligibility or case management work and some legal work, which includes court involvement, researching criminal citations and investigative techniques and testimony OR any equivalent combination of training and experience which provides the required knowledge, skills and abilities.

Preferred Qualifications:

• Desired Candidates will possess the following qualifications/experience:
• Bachelor’s degree in human service, or a related field.
• Experience working in a Virginia Local Department of Social Services within the last year as a Fraud Investigator.

Minimum of two (2) years working knowledge and experience in one or more of the following Benefit Programs...

1. Temporary Assistance for Needy Families (TANF)

2. Supplemental Nutritional Assistance Programs (SNAP)

3. Medical Assistance (MA)

4. Energy Assistance (EAP)

5. Child Care (CC)

Experience utilizing the following computer systems...

1. Accurint/Lexis Nexis

2. Integrated Revenue Management System (IRMS
- State Tax Intercept)

3. Electronic Disqualified Recipient System- USDA (eDRS)

4. System Partnering in a Demographic Repository (SPIDeR)

5.…