About the role
The work we do matters!
Hiring Agency:
Health & Human Services - Agency 25
Location:
Hiring Rate:
Job Posting:
Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
Job Description:
The Department of Health and Human Services (DHHS), Division of Children and Family Services Office of Economic Assistance is looking for a strategic partner for the position of Fraud Investigator. The successful candidate will participate in and support a culture where employees are highly motivated, energetic, excited, and enthusiastic working for DHHS.
Under limited supervision, the Fraud Investigator conducts investigations on referrals and/or allegations related to suspected fraud in DHHS Public Assistance programs such as Supplemental Nutrition Assistance, ADC, AABD, Energy Assistance, etc. Utilizing investigatory skills, performs thorough professional investigations including auditing client and worker records, interviewing witnesses, clients and employers and consulting DHHS program staff. Determines if client case should be referred for criminal prosecution and/or administrative hearing. Performs related work as assigned.
“You have the passion; we have the opportunities – let’s make a difference for Nebraskans”
The Fraud Investigator:
• Conducts audits of files, client records and computer-generated printouts to identify potential intentional program violations by clients or staff. Reviews case files to determine if files are complete, accurate and meet existing guidelines. Writes reports of investigative findings.
• Interviews service providers, employers, clients and third parties to collect information about the services and assistance provided to obtain evidence of fraud and abuse, to verify information and to inform them of the applicable aspects of the law.
• Determines whether or not there was intent by a client to defraud the agency and if the client should be referred for criminal prosecution and/or an administrative hearing.
• Represents the agency at Intentional Program Violation (IPV) hearings and criminal court proceedings to present evidence and explain investigation and findings. Questions witnesses and presents summary of the State’s position at IPV hearings. Consults with agency employees and witnesses to prepare them for administrative and court appearances.
• Makes referrals for recoupment of overpayments when collection activities are warranted, and criminal prosecution is not possible. Negotiates repayment agreements for overpayments.
• Acts as a resource to the public and DHHS staff, receives referrals from the public, DHHS staff, government agencies, other state agencies, law enforcement officials, school officials, etc.
Hiring Rate of Position: $21.672 per hour – non-exempt
Work Schedule: Monday – Friday, 8:00 AM – 5:00 PM
Dress Attire: Business Casual
Driving is required.
Location: Omaha
Requirements / Qualifications:
Minimum Qualifications: Post high school coursework/training in: criminal justice, law, social work or criminal investigative methods. OR experience in a social service agency with responsibility for eligibility determination in a variety of program areas. OR experience performing investigation, auditing, research, or information search activities, medical or service provider billing, claims adjustment review, or processing, service or payment authorization.
Preferred Qualifications:
- Prior law enforcement or criminal investigation experience.
- Emphasis on experience involving completing investigations and investigative report writing.
- State on your application/resume your prior law enforcement or criminal investigation experience and your experience completing investigations and investigative report writing.
Other: Valid driver's license or the ability to provide independent authorized transportation. Please indicate on your resume, in your application or cover letter the Preferred Qualifications you meet. List what prior law enforcement or criminal investigation experience you have; as well; as experience completing inves
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