INVESTIGATION SPECIALIST I - 60024905 1

State of FloridaJacksonville Beach, FL
4dOnsite

About The Position

The Florida Department of Children and Families (DCF) is the state of Florida’s social services agency. The agency oversees services for child safety, fostering, adoption, domestic violence, adult protective services, refugees, homelessness, mental health, substance abuse, childcare providers, human trafficking, and public assistance. The agency’s mission is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Within DCF, the Economic Self Sufficiency (ESS) Program helps to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals and families on the road to economic recovery. Under the ESS Program, the Office of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. INVESTIGATION SPECIALIST I – 60060474 – ESS OPBI Benefit Recovery Program The selected candidate will be required to work at the closest available office location. Some travel may be required. This is a full-time position working 40 hours per week. Business hours are 8:00 am - 5:00 pm EST, Monday - Friday. The incumbent is a member of the DCF D-SNAP Disaster Response team and, in that capacity, may be required on short notice to perform duties and travel in support of disaster relief. During such events, incumbent may be required to work more than 8 hours per day.

Requirements

  • Must be a current Florida DCF employee.
  • Must have a minimum of 1 year (12 months) Florida DCF ESS experience determining eligibility for government assistance programs (Temporary Cash Assistance, Food Assistance, Medicaid and Refugee Assistance).

Nice To Haves

  • Candidates with a minimum of two years (24 months) of State of Florida Economic Self Sufficiency experience
  • Candidates with Office of Public Benefits Integrity experience
  • Candidates with experience monitoring and/or reviewing cases for accuracy and correct application of Food Assistance, Cash, and/ or Medicaid policy.
  • Candidates who are proficient in using the FLORIDA system and Microsoft Office Suite.

Responsibilities

  • Timely investigates referrals for potential overpayment(s) as a result of fraud, inadvertent household error or agency error.
  • Analyzes cases and investigative findings by using specific program policies and procedures to determine who is responsible/liable and reason for the overpayment. Accurately establishes overpayment claims and the dollar amount of overpayments eligible for recoupment, based on current and past Federal and State laws and Public Assistance policies.
  • Completes referral reviews and claims in accordance with current program requirements. Takes timely and appropriate corrective action on identified errors through the Quality Management System, management evaluation reviews, and quality control reviews.
  • Reviews existing information when available, initiates telephone contacts when necessary to validate information or respond to customer inquiries. Answers general telephone inquiries and exchanges information with other agencies and Department staff. Assists customers and providers with questions or concerns pertaining to overpayments.
  • Represents the Department in Fair Hearings or State Attorney cases as assigned.
  • Attends and participates in supervisory conferences, meetings, trainings, work groups and quality initiatives, as appropriate.
  • Completes other related duties as assigned.
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