Fraud Investigator II
Virginia Department of Social Services.com
Office
Stafford, VA, United States
Full Time
Title Description- The Fraud Investigator II is the full performance level for employees that are responsible for investigating fraud, calculating overpayments, initiating Administrative or Court Action on all Intentional Program Violations, establishing overpayment 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.
General Work Tasks (Illustrative Only) –
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 overpayments 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.
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.
Minimum Qualifications:Considerable knowledge of applicable laws, codes, policies, and procedures related to public assistance programs, basic human behavior, financial assistance programs sufficient to determine eligibility for TANF, SNAP, and Medicaid.Considerable knowledge of mathematics to calculate percentages, formulas and averages to solve mathematical problems.Use of various types of automated technology to establish and maintain case records, access, scan, and retrieve data, create reports and manipulate data.High school diploma supplemented with additional training and related work experience or any equivalent combination of training which provides the required knowledge, skills, and abilities.Experience using VDSS computer systems VaCMS, MMIS, and any other systems used to determine eligibility for public assistance programs.Completion of benefit programs training.Valid drivers license and excellent driving record.
Preferred Qualifications: Bachelor's degree in a human services field, public administration, sociology, or any related field.Prior experience as a fraud investigator and/or experience using investigative techniques in public assistance programs.Prior experience working with law enforcement or court systems.
Special Requirements:Applicants will be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and pre-employment drug/alcohol screen. The investigation may include fingerprint checks, employment verification/references & 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. Employee must be willing to work in the community emergency shelter in the event of a natural disaster or emergency.
Special Instructions to Applicants:Applicants are encouraged to provide a complete listing of relevant work experience and qualifications on the application and/or resume. Applications/resumes for this position must be submitted electronically through this website. Mailed, e-mailed, faxed, or hand delivered applications/resumes will not be accepted. The website will provide a confirmation when the application/resume is submitted for consideration. Consideration for an interview is based solely on the information within the application/resume.
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 overpayments when the overpayment 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 overpayments.
About Working at Stafford DSS: https://vimeo.com/910172119
Stafford County Website: https://www.staffordcountyva.gov/
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 overpayments 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.
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.
Minimum Qualifications:Considerable knowledge of applicable laws, codes, policies, and procedures related to public assistance programs, basic human behavior, financial assistance programs sufficient to determine eligibility for TANF, SNAP, and Medicaid.Considerable knowledge of mathematics to calculate percentages, formulas and averages to solve mathematical problems.Use of various types of automated technology to establish and maintain case records, access, scan, and retrieve data, create reports and manipulate data.High school diploma supplemented with additional training and related work experience or any equivalent combination of training which provides the required knowledge, skills, and abilities.Experience using VDSS computer systems VaCMS, MMIS, and any other systems used to determine eligibility for public assistance programs.Completion of benefit programs training.Valid drivers license and excellent driving record.
Preferred Qualifications: Bachelor's degree in a human services field, public administration, sociology, or any related field.Prior experience as a fraud investigator and/or experience using investigative techniques in public assistance programs.Prior experience working with law enforcement or court systems.
Special Requirements:Applicants will be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and pre-employment drug/alcohol screen. The investigation may include fingerprint checks, employment verification/references & 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. Employee must be willing to work in the community emergency shelter in the event of a natural disaster or emergency.
Special Instructions to Applicants:Applicants are encouraged to provide a complete listing of relevant work experience and qualifications on the application and/or resume. Applications/resumes for this position must be submitted electronically through this website. Mailed, e-mailed, faxed, or hand delivered applications/resumes will not be accepted. The website will provide a confirmation when the application/resume is submitted for consideration. Consideration for an interview is based solely on the information within the application/resume.
Fraud Investigator II
Office
Stafford, VA, United States
Full Time
September 15, 2025