Benefit Programs Specialist II - Fraud

Summary

Benefit Programs Specialist II - Fraud

This job announcement is a courtesy job post for the Chesapeake County local Social Services agency. It is not a position of the Virginia Department of Social Services or any other Commonwealth of Virginia agency. Local employment opportunities mayalso be available through the local agency's city or county website/job board.

Essential Tasks:

• 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
• Calculates overpayments when the overpayment is discovered through a fraud investigation
• Prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule
• Reviews all new policy and procedures; and stays abreast of federal, state, and local guidelines and regulations for area of responsibility
• Maintains Fraud Free database tracking system
• Interviews customer and conducts assessment of eligibility for services; explains available programs and services; assists with completion of application process
• Dictates narrative of case; completes computer forms to establish case on various computer systems; analyzes available information and determines and recommends client eligibility
• Examines public assistance records/cases for completeness and accuracy; reviews accounts payable to ensure accuracy and timeliness of assistance payments
• Performs routine office tasks such as typing correspondence, data entry, filing, telephoning, faxing, and photocopying; maintains record system for area of responsibility
• Attends staff, team, committee, and other professional meetings to exchange information; meets with general public and community organizations to discuss programs for area of responsibility

Typical Task:

Receives referrals of suspected fraud form program workers and other sources including community complaints (anonymous or not) and computer matches. Analyzes allegations(s) and identifies the program regulations(s) which has been violated.

Required Qualifications:

• Vocational/Educational Requirement: Requires any combination of education and experience equivalent to a bachelor's degree in accounting, sociology, or a closely related field.
• Experience Requirement: In addition to satisfying the vocational/education standards, this position requires a minimum of one year of related, full-time equivalent experience.
• Special Certifications and Licenses: Depending on departmental operational requirements, may require valid driver's license and driving record in compliance with City Driving Standards

Special Requirement: Employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or City-wide emergencies. Emergency operations support work and work locations may be outside of normal job duties.

Preferred Qualifications:

• Three or more years of experience working directly with Virginia Division of Social Services Benefit Programs and/or Child Care Programs.
• Knowledge of investigative techniques; public assistance programs, legal proceedings, collection methods; applicable laws, codes
• Knowledge of Virginia Division of Social Services Benefit Program Fraud policies and procedures including civil and court procedures.
• One year of SPIDeR, VaCMS, DMIS, and MMIS experience in determining Eligibility in the In-take/On-Going unit

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer

Job Description

Benefit Programs Specialist II - Fraud

This job announcement is a courtesy job post for the Chesapeake County local Social Services agency. It is not a position of the Virginia Department of Social Services or any other Commonwealth of Virginia agency. Local employment opportunities mayalso be available through the local agency's city or county website/job board.

Essential Tasks:

• 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
• Calculates overpayments when the overpayment is discovered through a fraud investigation
• Prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule
• Reviews all new policy and procedures; and stays abreast of federal, state, and local guidelines and regulations for area of responsibility
• Maintains Fraud Free database tracking system
• Interviews customer and conducts assessment of eligibility for services; explains available programs and services; assists with completion of application process
• Dictates narrative of case; completes computer forms to establish case on various computer systems; analyzes available information and determines and recommends client eligibility
• Examines public assistance records/cases for completeness and accuracy; reviews accounts payable to ensure accuracy and timeliness of assistance payments
• Performs routine office tasks such as typing correspondence, data entry, filing, telephoning, faxing, and photocopying; maintains record system for area of responsibility
• Attends staff, team, committee, and other professional meetings to exchange information; meets with general public and community organizations to discuss programs for area of responsibility

Typical Task:

Receives referrals of suspected fraud form program workers and other sources including community complaints (anonymous or not) and computer matches. Analyzes allegations(s) and identifies the program regulations(s) which has been violated.

Required Qualifications:

• Vocational/Educational Requirement: Requires any combination of education and experience equivalent to a bachelor's degree in accounting, sociology, or a closely related field.
• Experience Requirement: In addition to satisfying the vocational/education standards, this position requires a minimum of one year of related, full-time equivalent experience.
• Special Certifications and Licenses: Depending on departmental operational requirements, may require valid driver's license and driving record in compliance with City Driving Standards

Special Requirement: Employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or City-wide emergencies. Emergency operations support work and work locations may be outside of normal job duties.

Preferred Qualifications:

• Three or more years of experience working directly with Virginia Division of Social Services Benefit Programs and/or Child Care Programs.
• Knowledge of investigative techniques; public assistance programs, legal proceedings, collection methods; applicable laws, codes
• Knowledge of Virginia Division of Social Services Benefit Program Fraud policies and procedures including civil and court procedures.
• One year of SPIDeR, VaCMS, DMIS, and MMIS experience in determining Eligibility in the In-take/On-Going unit

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer