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INTERNAL ONLY: Fraud Investigator 2

Work from home Full-time role Hiring

About the position 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, 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. Employee may also be involved in reviewing and responding to public assistance case information for determination of benefit recovery.

Responsibilities

  • Prepare public assistance fraud cases for scheduled prosecution and testify in civil and criminal court proceedings.
  • Conduct in-house and/or field investigations to gather information, evidence and verifications to substantiate allegations of public assistance fraud.
  • 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.
  • Review and respond to public assistance case information for determination of benefit recovery.
  • Receive referrals of suspected fraud from staff, computer matches, citizens or employers.
  • Conduct 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.
  • Process non-fraud cases (i.e. not an intentional program violation) and review overpayment referrals from staff and determine those that need to be further investigated for intentional program violation and/or prosecution, and for collection.
  • Conduct interviews with recipients in office or in home to obtain voluntary agreement of repayment or prepare cases for grant reduction and obtain verifications.
  • Interview participants and witnesses to resolve discrepant information.
  • Prepare complete, accurate and concise investigative reports.
  • Prepare administrative subpoenas.
  • Conduct investigative interviews with public assistance recipients and referral sources.
  • Assist with prioritizing cases for prosecution or intentional program violation.
  • Compute budgets and determine eligibility for all public assistance programs.
  • Attend conferences, workshops, training sessions and staff meetings to give and exchange information pertaining to public assistance programs.
  • Perform other related duties as required.

Requirements

  • 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.
  • 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 course or six months 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.
  • One course or six months experience in techniques of writing.
  • 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.

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