Fraud Investigator

Rio Grande County HR

Del Norte, CO

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JOB DETAILS
SALARY
$22.24–$23.12 Per Hour
LOCATION
Del Norte, CO
POSTED
30+ days ago
POSITION: Fraud Investigator DUTIES: - Meets with legal staff in pretrial and trial conferences to assist in the preparation and presentation of criminal prosecution; reviews testimony on results of the investigation. - Maintains claims activities in the Colorado Benefits Management System TRAILS and CHATS - Provides customer service regarding claim information, repayment negotiation and recovery process such as tax intercepts and benefit recoupments. - Interacts with court personnel regarding criminal claim information. - Composes letters and other correspondence to clients, attorneys, and employers. - Prepares and submits monthly collection report to director and county commissioners. - Handles all aspects of the civil court (small claims) process, if applicable. - Reconciles monthly payment information with the business office. - Conducts site visits to but is not limited to day care facilities, residences, employers, financial institutions, EBT vendors, etc. - Reviews information and referrals to determine the type of investigation required; reviews and researches case files and Colorado Department of Human Services regulations - Gathers necessary evidence from various sources regarding the allegations set forth in the investigation referral. - Conducts in-office or field interviews with witnesses to gather documentation and sworn testimony. - Meets with recipient to review the allegations, evidentiary packet and the recipient's options. - Prepares, conducts, and testifies in Intentional Program Violation hearings and/or refers to the District Attorney's Office for criminal prosecution - Prepares written report of findings, evidence, testimony, and documentation for submission to District Attorney's Office for filing of criminal action. - Meets with legal staff in pretrial and trial conferences to assist in the preparation and presentation of criminal prosecution; presents testimony on results of the investigation. - Initiates disqualification for a recipient found fraudulent through court order, intentional program violation, or waiver. - Keeps accurate records regarding the caseload of the unit, tracking the number of cases referred for action and the number of Intentional Program Violation and Criminal recoveries established. REQUIREMENTS: - To perform this job successfully, the individual must be able to perform each essential duty, as outlined above, in a satisfactory manner. The requirements listed below are representative of the knowledge, skill, and/or ability required for the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - A High School diploma or equivalent certificate is required for employment. - Preferred two (2) years of full-time Self Sufficiency or Public Assistance Technician duties involving the use of Colorado Benefits Maintenance System (CBMS) experience, and two (2) years of full-time investigative or administrative experience in an environment delivering services involving case law, legal action/court proceedings, and or legal research investigation is required for employment. - Ability to read, analyze and interpret documents such as State regulations and procedure manuals, write case comments and correspondence, communicate professionally with clients, coworkers and other agencies or organizations and proper use of English or Spanish (if applicable) including spelling, grammar, punctuation, and vocabulary. - The ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. - The ability to compute rate, ratio and percent and to draw and interpret bar graphs. - Applicant must retain the ability to define problems, collect data, establish facts, and draw valid conclusions. Further the individual must be able to interpret an extensive variety of technical instructions which deal with abstract and concrete variables. - Must be able to analyze complex situations, for ulate plans and make quick decisions. OTHER REQUIREMENTS: - Valid Colorado Driver's License and Vehicle Insurance - Background checks and drug screens including marijuana is required for this position. SKILLS: - Record keeping, filing methods and records management techniques - Policies, procedures, rules and regulations governing services to clients - Applicable State, Federal and local ordinances, laws, rules and regulations - All computer applications and hardware related to performance of the essential functions of the job. - Using tact, discretion, initiative and independent judgment within established guidelines - Organizing work, setting priorities, meeting critical deadlines and following up on assignments with a minimum of direction - Applying logical thinking to solve problems or accomplish tasks to understand, interpret and communicate complicated policies, procedures and protocols - Ability to respond to each client with empathy and respect - Ability to establish and maintain effective working relationships with a variety of individuals - Ability to define problems, collect data, establish facts and draw valid conclusions WAGE: $22.24 - $23.12/Hr. Depending on Experience JOB SITE: Del Norte, Colorado APPLICATION INSTRUCTIONS: If you meet the minimum requirements for this position, please click on How to Apply to view application information. You must be registered with Connecting Colorado to view the application information (registration is available at no cost).

About the Company

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Rio Grande County HR