Fraud Investigator - Benefits Programs (Field Visits)

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

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.