Benefits Program Worker II - Fraud

City of Chesapeake Virginia; Chesapeake, Northern (VA, KY); Hybrid; USD 43,000 - 58,000; Full time

Job summary

The City of Chesapeake Virginia is seeking a Benefits Program Worker II – Fraud Investigator to support citizens in obtaining services and to conduct fraud investigations. The role covers eligibility determinations, documentation, and reporting within a structured public sector framework.

Field and home visits may be required. The successful candidate will have a high school diploma or GED, at least four years of related experience, and Virginia SNAP/Medicaid training.

Qualifications

• Requires a high school diploma or GED / HSE.
• In addition to satisfying the vocational/education standards, this class requires a minimum of four years of relevant experience.
• Requires a valid driver’s license and a driving record that is in compliance with City Driving Standards. Must have completed state required SNAP and Medicaid program training.
• Employees may be expected to work hours in excess of their normally scheduled hours in response to short-terms department needs and/or City-wide emergencies.
• 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

Responsibilities

• 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 a breast of federal, state, and local guidelines and regulations for area of responsibility.
• 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.

Job description

Please see Special Instructions for more details.

• Fraud investigations require gathering objective evidence before making any determination. Describe the investigative methods you would use to collect, verify, and document evidence while ensuring your findings are fair, impartial, and supported by policy.
• Describe the investigative methods you would use when reviewing a potential fraud referral. How would you gather and evaluate evidence to determine whether additional investigation is warranted?

***Please note: Selected candidate will be required to go out in the field and on home visits. ***

Position Information

Working Title of Vacant Position

Job Type

Job Type Full Time

Posting Type

Posting Type Public

Number of Vacancies

Number of Vacancies 1

Department

Department HUMAN SVCS

Division

Division HS-SOCIAL SERVICES ADMIN

Requisition Number

Requisition Number 2026324

Number of hours worked per week

Number of hours worked per week 40

Work Schedule

Monday – Friday 8 am – 5 pm.
Employees may be expected to work hours in excess of their normally scheduled hours in response to short-terms department needs and/or City-wide emergencies.

Work Site Location

Work Site Location Chesapeake, Va. (100 Outlaw Street)

Position Driving Requirement

Position Driving Requirement O - Occasional

Pay Grade

Pay Grade GE09

Pay Basis

Pay Basis Semi-Monthly

Advertised Salary

$50,607/ annually
Starting salary based on qualifications and experience

Job Description

Benefits Program Worker II – Fraud Investigator
The purpose of the position is to assist and support Chesapeake citizens in obtaining services provided by public and private agencies, and/or perform quality control for area of responsibility. The position is responsible for quality control and/or client assessment, investigating fraud, calculating overpayments, initiating Administrative or Court Action on all Intentional Program Violations, establishing overpayment and overseeing collections referrals, eligibility determination for financial and medical assistance, service delivery, and reporting. The position works within a general outline of work to be performed; develops work methods and sequences under general supervision.

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 a breast of federal, state, and local guidelines and regulations for area of responsibility.
• 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.
• Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments;
• Gathers and analyzes evidence to substantiate that fraud has or has not occurred. Testify in court proceedings; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others;
• Conducts witness and suspect interviews and takes statements as appropriate.
• Work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions;
• Establishes intent, if it exists. Determines suitability of cases for the Administrative Disqualification Hearing ( ADH ) processor for prosecution based on guidelines provided by the local Commonwealth’s Attorney.
• Prepares comprehensive investigative reports. Testifies in court or presents evidence at ADH’s. Maintains appropriate record and files. Compiles statistical information and creates reports as required.

Required Qualifications

VOCATIONAL / EDUCATIONAL REQUIREMENT : Requires a high school diploma or GED / HSE .

EXPERIENCE REQUIREMENT : In addition to satisfying the vocational/education standards, this class requires a minimum of four years of relevant experience.

SPECIAL CERTIFICATIONS AND LICENSES : Requires a valid driver’s license and a driving record that is in compliance with City Driving Standards . Must have completed state required SNAP and Medicaid program training.

SPECIAL REQUIREMENT : Employees may be expected to work hours in excess of their normally scheduled hours in response to short-terms 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

Job Open Date

Job Open Date 10/07/2026

Job Close Date

Job Close Date 10/26/2026

Open Continuous No

Special Instructions to Applicants

• Fraud investigations require gathering objective evidence before making any determination. Describe the investigative methods you would use to collect, verify, and document evidence while ensuring your findings are fair, impartial, and supported by policy.
• Describe the investigative methods you would use when reviewing a potential fraud referral. How would you gather and evaluate evidence to determine whether additional investigation is warranted?

*Please note: Selected candidate will be required to go out in the field and on home visits. *

ADA Checklist

Overall Physical Strength Demands

Overall Physical Strength Demands

Overall Physical Strength Demands S=Sedentary - Exerting up to 10 lbs. occasionally or small weights frequently; sitting most of the time.

Physical Demands

C = Continuously- 2/3 or more of the time.F = Frequently- From 1/3 to 2/3 of the time.O = Occasional- Up to 1/3 of the time.R = Rarely- Less than 1 hour per week.N = Never- Never occurs.

Standing

Standing Frequently- From 1/3 to 2/3 of the time.

Sitting Frequently- From 1/3 to 2/3 of the time.

Walking

Walking Frequently- From 1/3 to 2/3 of the time.

Lifting

Lifting Frequently- From 1/3 to 2/3 of the time.

Lifting Amount

Lifting Amount Exerting up to 10 lbs

Carrying

Carrying Frequently- From 1/3 to 2/3 of the time.

Carrying Weight

Carrying Weight Exerting up to 10 lbs

Pushing/Pulling

Pushing/Pulling Frequently- From 1/3 to 2/3 of the time.

Pushing/Pulling Weight

Pushing/Pulling Weight Exerting up to 10 lbs

Reaching

Reaching Occasionally- Up to 1/3 of the time.

Handling Occasionally- Up to 1/3 of the time.

Fine Dexterity

Fine Dexterity Frequently- From 1/3 to 2/3 of the time.

Kneeling

Kneeling Occasionally- Up to 1/3 of the time.

Crouching

Crouching Rarely- Less than 1 hour per week.

Protective Equipment Required

n/a

Health and Safety

D = DailyW = Several Times Per WeekM = Several Times Per MonthS = SeasonallyN = Never

Mechanical Hazards

Mechanical Hazards N = Never

Chemical Hazards

Chemical Hazards N = Never

Electrical Hazards

Electrical Hazards S = Seasonally

Fire Hazards

Fire Hazards S = Seasonally

Explosives

Explosives S = Seasonally

Communicable Diseases

Communicable Diseases S = Seasonally

Physical Danger or Abuse

Physical Danger or Abuse S = Seasonally

Other

If Other, Description

D = DailyW = Several Times Per WeekM = Several Times Per MonthS = SeasonallyN = Never

Dirt and Dust

Dirt and Dust D = Daily

Extreme Temperatures

Extreme Temperatures D = Daily

Noise and Vibration

Noise and Vibration D = Daily

Fumes and Odors

Fumes and Odors D = Daily

Wetness/Humidity

Wetness/Humidity D = Daily

Darkness or Poor Lighting

Darkness or Poor Lighting D = Daily

Primary Work Location

Non-Physical Demands

C = Continuously- 2/3 or more of the time.F = Frequently- From 1/3 to 2/3 of the time.O = Occasional- Up to 1/3 of the time.R = Rarely- Less than 1 hour per week.N = Never- Never occurs.

Time Pressures

Time Pressures Continuously- 2/3 or more of the time.

Emergency Situations

Emergency Situations Frequently- From 1/3 to 2/3 of the time.

Frequent Change of Tasks

Frequent Change of Tasks Continuously- 2/3 or more of the time.

Irregular Work Schedule/Overtime

Irregular Work Schedule/Overtime Occasionally- Up to 1/3 of the time.

Performing Multiple Tasks Simultaneously

Performing Multiple Tasks Simultaneously Continuously- 2/3 or more of the time.

Working Closely with Others as Part of a Team

Working Closely with Others as Part of a Team Continuously- 2/3 or more of the time.

Tedious or Exacting Work

Tedious or Exacting Work Continuously- 2/3 or more of the time.

Noisy/Distracting Environment

Noisy/Distracting Environment Continuously- 2/3 or more of the time.

Other

If Other, Description

Can anyone assist the employee in performing the primary tasks assigned to this position? If yes, identify the eligible task(s)

No

Professional References

Professional References

Please provide contact information for professional references.

Minimum Requests 0

Maximum Requests 4

Supplemental Questions

Required fields are indicated with an asterisk (*).

• * Do you possess a valid driver's license and a driving record that is in compliance with the City's Driving Standards? Please review link in posting for details.
  • Yes
  • No
• * This position requires completion of state-mandated SNAP and Medicaid program trainings. Please provide a list of all relevant trainings you have completed. If none, please indicate “N/A.”

  (Open Ended Question)