Income Maintenance Investigator II
DEPARTMENT: Duplin County Social Services
SALARY: $ 14.37 Hourly / $ 29,881 Annually
OPENING DATE: May 4, 2020 Closing Date: May 14, 2020 at 5:00 p.m.
APPLY AT: Duplin County Personnel Office
County Administration Building
224 Seminary Street
Kenansville, NC 28349
Website Address: www.duplincountync.com
“Equal Opportunity Employer”
GENERAL DESCRIPTION OF DUTIES
The primary purpose of this position is to investigate fraud or alleged fraud in the income maintenance programs of the Duplin County Department of Social Services.
SPECIFIC DUTIES AND RESPONSIBILITIES
The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in this class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
Investigating Fraud Claims: FNS — 50%, Medicaid — 5%, Daycare — 2%, WFFA — 1%, Energy — 1%
- Employee completes Food and Nutrition Services investigations by mailing notices to the individual suspected of committing the IPV with a copy to any known legal or authorized representative.
- Employee creates a referral in EPICS and open an investigative file folder and begin a narrative. This Worker then pulls the case files for all aid programs the client received and labels them to prevent purging.
- Employee reviews all local agency eligibility files for the household under investigation. They also Check for verification or other reported pertinent information.
- Employee sends written request to all third party verification sources (such as employers, neighbors, etc.) to verify the information reported by the referral that is not part of the Food and Nutrition Services or other agency files and request a reply within 30 days.
- Employee closes the referral if the eligibility file(s) has/have been purged or lost for the period of suspected over issuance.
Establishing Claims in Epics: 25%
- Employee must establish a referral in the EPICS case management system when an over issuance or Intentional Program Violation (IPV) has occurred.
- Employee must complete an investigation and enter appropriate information and dates before establishing a claim or seeking an IPV disqualification or making a criminal referral, or unsubstantiating a referral. When it is determined that there is no over issuance and no IPV, the worker will unsubstantiate the referral. Information and worker actions must be properly documented in a timely manner.
Interviewing Clients: 10%
- Employee establishes rapport with clients, collaterals and third party entities in order to obtain needed information in order to determine if fraud has occurred.
- Employee documents client and client-related contacts utilizing the computer and maintains records in an orderly manner.
Reports (monthly, weekly, daily) — 5%
- Employee is responsible for pulling and working the monthly FRD, Data Warehouse, and Program Integrity reports on a monthly, weekly and sometimes daily basis and other state reports as needed.
Attending Court — 1%
- Prepare and provide court documents for law enforcement and judiciary officials. Presents cases to Grand Jury and testifies in court actions as to information gathered.
REQUIRED MINIMUM TRAINING
An Associate Degree in Human Services Technology, Social Services Associate, Paralegal Technology, Criminal Justice, Business Administration, Secretarial Science or closely related curriculum and two years of experience as an Income Maintenance Caseworker or Investigator; or, graduation from high school and three years of experience as an Income Maintenance Caseworker or Income Maintenance Investigator; or graduation from high school and two years of investigative experience in credit, legal, or law enforcement work plus eighteen months of experience as an Income Maintenance Caseworker or Income Maintenance Investigator; or An equivalent combination of training and experience.
Must have valid NC Driver’s License. Must have access to use of a motor vehicle for travel to client homes and various destinations throughout the county and state. Must provide certified proof of degrees and college transcripts.