Fraud Investigator II

Job Description:   This is an essential position. Responsible for investigating fraud, calculating overpayments, initiating administrative or court action, establishing overpayments and overseeing collections.  Receives, evaluates, and tracks allegations of suspected fraud; investigates allegations to determine intent; participates in decisions to prosecute or disqualify violators; trains staff in prevention and detection of potential fraud; provides guidance and training to Fraud Investigator back-up staff (BPS III); prepares cases for court; testifies in court and hearings; prepares reports; maintains database and tracking system; and reviews policies and procedures. May require occasional weekend work, work during inclement weather, work during other unusual conditions. Overnight travel may be required. May be required to report for emergency shelter duty.    

Qualifications – Knowledge, Skills, and Abilities (KSA’s):  Working knowledge of investigative techniques; public assistance programs, including, but not limited to SNAP, TANF, and Medicaid; legal proceedings; collection methods; program policies and regulations; fraud-related terminology; basic human behavior; social problems and resources; and databases and reports related to assistance and fraud programs.  Skill in use of personal computer with associated software. Ability to communicate effectively orally and in writing; perform basic mathematics; calculate overpayments; track payments; testify in court and other hearings; train staff. Ability to maintain effective working relationships and communication with internal and external customers; work independently; analyze data; collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms and documents; organize own work. Employee must have a positive attitude and helpful demeanor, and exhibit a professional working relationship with staff, customers, and the community. Must have good sound judgement, emotional maturity, and ability to manage multiple tasks and priorities.

Qualifications – Education, Experience, Licensure, and Certification:  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.

VDSS is one of the largest Commonwealth agencies, partnering with 120 local departments of social services, along with faith-based and non-profit organizations, to promote the well-being of children and families statewide. We proudly serve alongside nearly 13,000 state and local human services professionals throughout the Social Services System, who ensure that thousands of Virginia's most vulnerable citizen have access to best services and benefits available to them.