Red Lake Nation News - Babaamaajimowinan (Telling of news in different places)

FRAUD SPECIALIST- OSHKIIMAAJITAHDAH (NEW BEGINNINGS)

 

VACANCY ANNOUNCEMENT

Extended!

FRAUD SPECIALIST

OSHKIIMAAJITAHDAH (NEW BEGINNINGS)

Open: January 13, 2016

Closing: January 29, 2016 @ 3:00 p.m.

POSITION SUMMARY:

Perform professional and administrative work involving the determination and validity of the eligibility of individuals for financial and medical assistance under federal, state and local government programs. The Fraud Specialist has primary responsibility for determining the possibility of fraud and/or overpayment of benefits of all public assistance applicants. Reports to Executive Director, full time position, w/benefits, salary; DOQ.

ESSENTIAL RESPONSIBILITIES/DUTIES:

• Interviews applicants and recipients to determine the possibility of non-compliance for public assistance programs secures and verifies data on their financial, medical and employment status and determines the accuracy of eligibility for all applicable financial and/or medical assistance programs.

• Conducts visits to clients' residence to interview, collect, secure and verify data for determining possibility of fraud or overpayment.

• Contacts clients, citizens, employers, financial institutions and community and state agencies to gather relevant data, answer questions and apprise them of their rights and responsibilities in relation to public assistance programs.

• Handles phone calls and conducts in office interviews to answer questions concerning overpayment amounts and balances and establish repayment agreements.

• Takes written statements of witnesses and completes written documentation of each fraud case to maintain in the clients' department file.

• Determine the eligibility or ineligibility for assistance programs, determines correct benefit levels and notifies clients of overpayment amounts and the existence of fraud.

• Explores other possible sources of income, follows up on inconsistent information received from client, federal databases and other state resources, and follow up on fraud referrals made by Benefit Program Specialist and anonymous reports from the general public.

• Coordinates and works with the Benefit Program Specialist to conduct front end fraud investigations during the initial application process.

• Knows and maintains all computerized data bases that reflect client/case information, uses personal computer for word processing, reporting and data entry.

• Participates in training on policy and procedures, professional development.

• Participates on state and local workgroups and organizations.

• Performs other related tasks as required.

EDUCATION/WORK EXPERIENCE/QUALIFICATIONS:

• GED/High School Diploma.

• Associate, Bachelor's degree (preferred) in a human services field is preferred; a combination of related education and experience equivalent to a degree will be considered.

• Prior experience in Human Services Field.

• Advance knowledge in computer software/programs.

• Must have valid Minnesota Driver's License and auto insurance.

• Abide by the Oshkiimaajitahdah Zero Tolerance Policy and Confidential Policy.

• Employment is contingent upon passing a pre-employment drug test and background check.

TO APPLY: Applications and copies of certificates/diplomas are being accepted at the Human Resources Department, P.O. Box 546, Red Lake, MN 56671 Phone (218) 679-1847.

 

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