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Benefits Program Worker II - Fraud

City of Chesapeake -
Chesapeake, VA

Apply Now

Job Details

Full-time
$50,607 a year
13 days ago

Qualifications

Criminal procedure
Case documentation in social services
Statistics
Database systems
Investigations regulatory compliance
Legal presentation of evidence
Accounts payable
Case assessment
Customer service
Interviewing clients
Copy machines
Welfare eligibility determination
Court testimony
Filing
Bachelor's degree in sociology
Mid-level
Sociology
Data summary reports
Financial fraud investigation
Courtroom procedure
Investigative data analysis
Driver's License
Quality control management
Bachelor's degree
Financial records review
Driving
Fax machines
Investigation evidence collection
Collaborating with law enforcement agencies
Financial data management

Full Job Description

Position Information

Working Title of Vacant Position

Benefits Program Worker II - Fraud

Job Type

Full Time

Posting Type

Public

Number of Vacancies

Department

HUMAN SVCS

Division

HS-SOCIAL SERVICES ADMIN

Requisition Number

2026324

Number of hours worked per week

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

Chesapeake, Va. (100 Outlaw Street)

Position Driving Requirement

O - Occasional

Pay Grade

GE09

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
The tasks listed below are those that represent the majority of the time spent working in this position. Management may assign additional tasks related to the type of work of the position as necessary.

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.
Maintains Fraud Free database tracking system.
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 any combination of education and experience equivalent to a bachelor’s degree in accounting, sociology, or a closely related field.

EXPERIENCE REQUIREMENT: In addition to satisfying the vocational/education standards, this position requires a minimum of one year of related, full-time equivalent experience.

SPECIAL CERTIFICATIONS AND LICENSES: Depending on departmental operational requirements, may require valid driver’s license and driving record in compliance with City Driving Standards

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

Posting Detail Information

Job Open Date

08/07/2026

Job Close Date

08/23/2026

Open Continuous

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

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 = Occasionally- Up to 1/3 of the time. R = Rarely- Less than 1 hour per week. N = Never- Never occurs.

Standing

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

Sitting

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

Walking

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

Lifting

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

Lifting Amount

Exerting up to 10 lbs

Carrying

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

Carrying Weight

Exerting up to 10 lbs

Pushing/Pulling

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

Pushing/Pulling Weight

Exerting up to 10 lbs

Reaching

Occasionally- Up to 1/3 of the time.

Handling

Occasionally- Up to 1/3 of the time.

Fine Dexterity

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

Kneeling

Occasionally- Up to 1/3 of the time.

Crouching

Rarely- Less than 1 hour per week.

Crawling

Rarely- Less than 1 hour per week.

Bending

Occasionally- Up to 1/3 of the time.

Twisting

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

Climbing

Occasionally- Up to 1/3 of the time.

Balancing

Rarely- Less than 1 hour per week.

Vision

Continuously- 2/3 or more of the time.

Hearing

Continuously- 2/3 or more of the time.

Talking

Continuously- 2/3 or more of the time.

Foot Controls

Continuously- 2/3 or more of the time.

Machines, Tools, Equipment and Work Aids Used

Computer, copier, fax, telephone, scanner, adding machine, calculator, printer, car, and related equipment.

Protective Equipment Required

n/a

Health and Safety

D = Daily W = Several Times Per Week M = Several Times Per Month S = Seasonally N = Never

Mechanical Hazards

N = Never

Chemical Hazards

N = Never

Electrical Hazards

S = Seasonally

Fire Hazards

S = Seasonally

Explosives

S = Seasonally

Communicable Diseases

S = Seasonally

Physical Danger or Abuse

S = Seasonally

Other

If Other, Description

Environmental Factors

D = Daily W = Several Times Per Week M = Several Times Per Month S = Seasonally N = Never

Dirt and Dust

D = Daily

Extreme Temperatures

D = Daily

Noise and Vibration

D = Daily

Fumes and Odors

D = Daily

Wetness/Humidity

D = Daily

Darkness or Poor Lighting

D = Daily

Primary Work Location

Office Environment

Non-Physical Demands

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

Time Pressures

Continuously- 2/3 or more of the time.

Emergency Situations

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

Frequent Change of Tasks

Continuously- 2/3 or more of the time.

Irregular Work Schedule/Overtime

Occasionally- Up to 1/3 of the time.

Performing Multiple Tasks Simultaneously

Continuously- 2/3 or more of the time.

Working Closely with Others as Part of a Team

Continuously- 2/3 or more of the time.

Tedious or Exacting Work

Continuously- 2/3 or more of the time.

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)

Professional References

Please provide contact information for professional references.

Minimum Requests

Maximum Requests

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program worker ii fraud jobs in virginia beach va

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