Fraud Investigator I Job at Virginia Dept of Social Services - Local
This position is responsible for investigating fraud, calculating overpayments, initiating Administrative or Court Action on all Intentional Program Violations establishing overpayment and overseeing collections. This position reports to the Benefits Program Supervisor and/or Director. Fraud Investigator I represents the entry level and works under close supervision while being trained in investigating fraud for a variety of social services and government assistance programs. Upon recommendation by the supervisor, approval by the director, and successful completion of the training program, the employee shall be redefined to a full-performance Fraud Investigator II becomes eligible for a pay increase as defined by the local agency compensation plan.
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 overpayments when the overpayment is discovered through a fraud investigation; Prepares reports; Reviews all new policy and procedures; and Maintains Fraud Free database tracking system.
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 overpayments when the overpayment is discovered through a fraud investigation; Prepares reports; Reviews all new policy and procedures; and Maintains Fraud Free database tracking system.
Minimum Qualifications
Some knowledge of investigative techniques; public assistance programs; legal proceedings; collection methods; self-defense; public assistance program policies and regulations; applicable laws, codes, policies and procedures, including civil and court procedures; basic human behavior; and social problems and resources.
Skill in operating a personal computer and the associated office software.
Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; 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.
Skill in operating a personal computer and the associated office software.
Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; 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.
Preferred Qualifications
High school diploma supplemented by work experience and/or training involving human services program eligibility, case management work, or some legal work OR any equivalent combination of training and experience which provides the required knowledge, skills and abilities.
Experience working in software applications in use by local DSS agencies such as Adapt, EPPIC, SVES, SPIDeR, etc.
Experience working on a daily basis with a diverse public in a human services, collections, law enforcement, military or related environment. Work experience interviewing, collecting data, gathering information and/or investigating
Previous experience as a Fraud Investigator within a local Dept. of Social Services.
Experience working in software applications in use by local DSS agencies such as Adapt, EPPIC, SVES, SPIDeR, etc.
Experience working on a daily basis with a diverse public in a human services, collections, law enforcement, military or related environment. Work experience interviewing, collecting data, gathering information and/or investigating
Previous experience as a Fraud Investigator within a local Dept. of Social Services.
Special Requirements
Applicants may be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and/or pre-employment drug screen. The investigation may include: fingerprint checks (State Police, FBI), local agency checks, employment verification and references, verification of education (relevant to employment), credit checks (relevant to employment) and other checks requested by the hiring authority. All offers of employment are contingent upon satisfactory results of the required checks and screenings.
Special Instructions to Applicants
The website will provide a confirmation receipt when the application/resume is submitted for consideration. Consideration for an interview is based solely on the information within the application and or resume. Please refer to your RMS account for the status of your application for this position.
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