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DDSSA FRAUD INVESTIGATOR

The Disability Determination for the Social Security Administration (DDSSA) Fraud Investigator is responsible for investigating allegations of fraud concerning Social Security, insurance, unemployment payments,

Class Code:

X070C

Job Grade:

GS08

Special Job Requirements:

Occasional in-state travel is required.

Typical Functions:

Investigates allegations of fraud using the original complaint to develop further information from various resources, including state and local governments, law enforcement agencies, businesses, and neighbors. Contacts claimants for fact-finding interviews, obtains claimants statements, and makes fraud/non-fraud determinations regarding earnings issues. Obtains payroll information from employers and compares with earnings reported by the claimant. Conducts surveillance on individuals, documenting conduct through photographs or videos of the individual being investigated. Prepares and serves subpoenas. Reviews and verifies work search contacts reported by claimants, including educational institutions, union memberships, and all aspects of eligibility for unemployment insurance benefits sample. Prepares written reports detailing the investigation, facts, finding, and recommendations for approval or final actions. Promotes public relations through contacts with employers, state and local officials, general public, court officials, and law enforcement agencies. May testify in court, disability hearings, and/or office of hearings and pleas. Performs other duties as assigned.

Knowledge, Abilities, and Skills:

Knowledge of management and supervisory practices and techniques. Knowledge of the disability adjudication process and system. Knowledge of unemployment insurance laws, rules, and regulations. Knowledge of investigatory methods and legal research methods and procedures. Knowledge of social security disability claims, rules, and regulations. Ability to interpret manuals, rules, and regulations. Ability to prepare and present oral and written information and investigative reports. Ability to coordinate services with other state and federal investigative units, local, state and federal agencies, and attorneys.

Minimum Qualifications:

The formal education equivalent of a bachelor’s degree in social work, psychology, sociology or related field; plus two years of experience in fraud investigation, law enforcement or a related field.

Required Certificates:

Must possess a valid Arkansas driver’s license.

Exempt:

N
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