Fraud Investigator

PLUS, DIFFERENTIAL PAY

DEFINITION

Under the general supervision of the Director of Performance Reporting or designee within the Division of Family Assistance, this position is responsible for conducting investigations of alleged fraud cases in the Supplemental Nutrition Assistance Programs (SNAP) to determine if evidence exists or is sufficient to recommend disqualification from the program and/or prosecution. Work is reviewed through conferences and reports for compliance and adherence to established guidelines and policies.

DUTIES (NOT ALL INCLUSIVE)

Investigates customers case file manually or within a computer system to obtain facts, a general overview, and existing information about the case.

Conducts field work gathering all relevant information pertinent to the alleged complaint. 

Interviews customers in-house or outside of office to gather information and other pertinent data pertaining to the alleged fraud.

Obtains evidence from potential witnesses identified in the investigation of the fraud case.

Informs customers of the Fraud Investigative Process at initial interview to advise customers of their rights. 

Prepares, writes, and mails all documents and applicable paperwork to clients alerting them of alleged complaint and request interview.

Prepares a Report of Investigation (ROI) and submits to supervisor for review, approval, and signature.

Serves as a representative on behalf of the agency during, Administrative Disqualification Hearings (ADH) to present all pertinent facts gathered relevant to the disposition of the case.

Adheres to all agency confidentiality regulations and guidelines when managing client information.

Performs other related work as required.

MINIMUM QULAFICATIONS

Bachelor of Arts in Criminology, Criminal Justice, Social Sciences or any closely related field, and one year of work experience dealing with investigations or collecting and analyzing facts.

OR

High School Diploma or its equivalent and four (4) years of work experience as a Front-End Investigator, Quality Control Reviewer, Eligibility Worker, Probation Officer, Counselor, Corrections Officer, or any closely related field.

FACTOR 1 – KNOWLEDGE REQUIRED BY THE POSITION

Knowledge of federal guidelines, rules, regulations, policies, and procedure.

Knowledge of department rules, regulations, policies, and procedures.

Knowledge of investigative techniques and procedures.

Knowledge of interviewing techniques.

Knowledge of the ethics of confidentiality

Knowledge of computer applications.

Knowledge of basic mathematics.

Ability to read, write, comprehend, and understand a system of procedures.

Ability to comprehend orally and in writing.

Ability to keep all information confidential 

Ability to analyze and solve problems.

Ability to prioritize and meet deadlines.

Ability to prepare statistical and monthly reports.

Ability to deal with all persons contacted during work.

FACTOR 2 – SUPERVISORY CONTROLS

Work is supervised and reviewed by the supervisor who assign cases and customer complaints for investigation. The investigation is monitored by the supervisor to completion. An employee in this class is expected to work independently and make sound and responsible decisions.

FACTOR 3 – GUIDELINES

Guidelines includes federal and local codes and regulations, and policies governing the SNAP and Cash Programs.

FACTOR 4 – COMPLEXITY

Work is recurring in nature. The employee collects, examines, and analyzes customer information; keeping all information confidential, to determine if the alleged fraud complaint occurred, and if it did, is it non-intentional or intentional. The employee makes recommendations on the facts of the case based on relevant policies, regulations, and procedures.

FACTOR 5 – SCOPE AND EFFECT

The purpose of work is to ensure accountability in the SNAP and CASH programs to ensure that federal and local guidelines are met and upheld, and to protect the rights and responsibilities of the customer, and the integrity of the SNAP and CASH programs.

 FACTOR 6 - PERSONAL CONTACTS

Contacts are customers, co-workers, employees, employers, individuals within government, or outside of government, and within the public.

FACTOR 7 – PURPOSE OF CONTACTS

Contacts are made to obtain, verify, and share information relative to SNAP fraud cases.

FACTOR 8 – PHYSICAL DEMANDS

Work is mostly sedentary but fieldwork is required including walking, standing, stooping, bending, and operating a motor vehicle.

FACTOR 9 – WORK ENVIRONMENT

Work conducted indoors is in an air-conditioned office in a comfortable atmosphere. Work outdoors lends itself to exposure to environmental elements.