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DelDOT is seeking an Investigator II to support Delaware's PFML program. You will act as a primary contact for claimants, review eligibility, and resolve issues while maintaining accurate records and ensuring compliance with the Act and regulations.
The role requires conducting investigations, gathering evidence, interviewing witnesses, and preparing reports with a focus on fairness, accuracy, and fraud prevention. Strong customer service and organizational skills are essential.
This Investigator II role supports Delaware's Paid Family and Medical Leave insurance program established under the Healthy Delaware Families Act. You will serve as a primary point of contact for claimants, ensuring claims are processed efficiently, fairly, and in compliance with the Act and applicable regulations. Key responsibilities include investigating and resolving claim issues, discrepancies, and claimant concerns; maintaining detailed and accurate records; reviewing claims to verify eligibility; and identifying potential fraud. Success in this role will involve customer service and organizational skills; the ability to manage a high-volume caseload; attention to detail to identify suspicious activity; proficiency with automated systems; and a commitment to equitable and consistent administration of the Delaware PFML program.
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of similar kind not specifically listed here.
JOB REQUIREMENTS for Investigator II
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
Accommodations are available for applicants with disabilities in all phases of the application and employment process.
Individuals who use TDD may request auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com.
If you need assistance with an accommodation under the Americans with Disabilities Act (ADA) or general applicant support, you may call (302) 739-5458 or email jobs@delaware.gov.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.