Social Services Investigator - Fraud and Resources(Hybrid)

Connecticut Department Of Administrative Services

Manages state resources, operations, and services, streamlining efficiency for Connecticut government.

Investigate suspected fraud in Medicaid, HCBS, and related public assistance programs.

14 days ago ago

$66,733 - $83,328

Junior (1-3 years)

Full Time

Hartford, CT

Hybrid

Company Size

1,700 Employees

Service Specialisms

Construction services

Project Management

Consulting

Engineering

Architecture

Property Development

Design

Technical Services

Sector Specialisms

Human Resources

Information Technology

Fleet Vehicle Services

Building and Construction

Procurement

Grants Administration

Role

What you would be doing

interviews

title searches

property appraisals

data analysis

investigation reports

field visits

Conducts interviews with clients, recipients and providers;
Conducts research on active and closed case files where there is an allegation, suspicion or actual program violation;
Conducts research to determine fair market value of all assets;
Investigate complaints made to DSS and evaluate possible agency action using various resources
Prepares detailed investigation reports;
Prepares spousal assessments reports;
interpret financial and legal documents for cases supporting fraud;
Conducts investigations for closed case reviews and calculates funeral payments;
Conducts investigation to determine the financial resources for the determination of recipient eligibility;
Identifies and evaluates demographics data and financial resources pertaining to applicant, client, deceased client or relative;
Conducts electronic bank transfer Supplemental Nutrition Assistance Program (SNAP) client trafficking investigations and assists in retailer SNAP trafficking;
Contacts employers, financial institutions and other agencies to obtain information;
Conducts property appraisals and comparable property sales searches to determine fair market value of real market property;
Conducts title searches of real property, reviews records lien with town clerks, investigates income/assets to determine improper transfers of assets, calculates and recommends penalty periods for improper transfer of assets;
summarize and articulate findings;
Conducts interviews and unannounced home visits to interview applicants, client and/or third party to determine facts related to eligibility or program violations;
Conducts title searches to identify ownership and transfer history of personal and real property and determines if a property lien, assignment of interest on claims or decedent's estate is necessary;
Develop detailed fraud referral reports
Prepares fraud referral packages;
perform arithmetical computations;
Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.
Prepares arrest warrant applications (affidavits);
Calculates overpayments;
utilize computer software and systems.
Prepares various financial documents and executes assignment of interest in claims, estates and other assets;
Prepares subpoenas;
Conducts field visits and surveillance when appropriate;
Makes recommendations to management and negotiates with attorneys and financial institutions;
Prepares and executes assignments of interest in claims;
prepare reports;
Works closely with other State agencies;
Provides consultation of legal and policy requirements and procedures;
Work closely with the Office of the Attorney General, The Medicaid Fraud Control Unit, and the Department of Health and Human Services (HHS), Office of Investigations.
gather and analyze financial data;
Consults with and provides case information to agency Legal Division, Office of the Attorney General and Chief State's Attorney;
Provide ongoing support to the investigating agencies
Conducts interviews and obtains information about income, real property and all personal assets;
Prepares summaries and testifies at administrative hearings, probate hearings and other court hearings.
Performs various data integrity matches and subsequent investigation;
Retrieves and investigates collateral contact information;
Analyzes financial data and legal documents and substantiates intentional program violations;
Performs investigations of suspected fraudulent activity by providers or recipients of various programs administered by the department, including but not limited to Medicaid, SNAP, Child Care, CEAP, TFA, PCA Waiver, State Supplement;
Determines and documents intentional program violation and whether the case warrants an administrative hearing or referral for criminal prosecution;

What you bring

motor license

communication

legal terminology

investigative skills

interpersonal skills

bachelors degree

Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator's license.
oral and written communication skills;
and ability to interpret and apply relevant state and federal laws, statutes and regulations;
College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one half (1/2) year of experience to a maximum of four (4) years for a Bachelor's Degree.
Ability to
legal terminology;
For state employees, one (1) year as a Social Services Investigator (Child Support) substitutes for the General Experience.
Referral Questions: This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire’s expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).
investigatory methods and techniques;
and ability to interpret and apply relevant agency policies and procedures;
For state employees, two (2) years as an Eligibility Service Worker may substitute for the General Experience.
interpersonal skills;
Knowledge of
conducting investigation skills;
Educational Credits: List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below.
interviewing skills;
Successful completion of a Connecticut Careers Trainee program approved by the Department of Administrative Services may be substituted for the General Experience.
Travel to DSS sub-offices, state courts and administrative state agencies may be required.

Benefits

Professional growth and paid professional development opportunities.
property ownership and personal finances;
State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loan forgiveness after 10 years of service. Click here for more information.
First (1st) week
public assistance programs;
A healthy work-life balance to all employees.

Training + Development

Information not given or found

Interview process

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Visa Sponsorship

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Security clearance

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