
Knowledgeable public service professional with extensive experience in case management, records analysis, and fraud detection. Proven ability to interview witnesses, verify income and transactions, and prepare concise written memorandums. Brings strong communication, compliance, and investigative skills to complex cases.
Completed field investigations for possible EBT trafficking, misuse, misrepresentation, and household composition concerns.
Subpoena EBT transactions and surveillance footage from vendors , review EBT transactions and footage to identify suspects and potential fraud activity
Investigated high influx of time-sensitive EBT cloning and skimming replacement referrals to mitigate fraud risk and protect program integrity.
Detected illegal trends and fictitious business activity used to scam benefit recipients through cloning, skimming, and other theft methods.
Detect and report fraudulent trends, patterns and schemes
Calculate benefit overpayments amounts using policy, statutes and substantial evidence to establish claims including complex claims.
Reviewed referrals for possible overissuance of SNAP, cash assistance, school clothing allowance, LIHEAP, and other state and federal benefits.
Submitted concise written memorandum responses for quality control non-compliance, whistleblower, and EBT trafficking/misuse referrals to ensure compliance and accountability.
Carefully evaluate referrals for Intentional Program Violations
Pursue Intentional Program Violations through Administrative Disqualification Hearings or Waiver
Accept written or verbal Fair Hearing requests
Adhere to West Virginia Code 29A-5-1 et seq.
regarding submission of Fair Hearing requests, preparation of record, testimony and relevant exhibits
Submit clear and admissible evidence that supports the validity of the claim.
Prepare clearly labeled exhibits for Administrative Hearings and communicate with the representing Attorneys on all facts and issues related to the appeal process
Interview suspects, witnesses and other entities as part of the investigation process.
Demonstrate a clear understanding of the subject matter and deliver requested information in a professional manner
Detect and deter all types of fraud
Attend in person trainings and regular online seminars to enhance investigative skills and detection related to financial and benefit fraud crime activities
Review financial institution transactions to include other online payments
Verify earned income, unearned income and self-employment
Identify falsely reported income
Post and track payments
Negotiate repayment amounts
Review delinquent claims for referral to Tax Offset Program, Prepare discrepancy reports in the event of a payment error or refund requirement
Submit monthly detailed tracking reports
Special projects as assigned (EBT)
Maintained professional relationships with all colleagues, vendors, Agencies and Law Enforcement
Attend in person trainings and regular online seminars to enhance investigative skills and detection related to financial and benefit fraud crime activities
Family support promoting self-sufficiency, stability and work readiness Work with outside agencies to include Legal Aid, Homeless Coalition, Housing Authorities, Monongalia and Marion Day Report, Fairmont City Public Transportation/Bus, Spokes/Full Circle, Workforce WV, Good News Garage, Social Services, Services in Place
Maintained respectful oversight and provided encouragement to foster client engagement and progress
Tracked and verified monthly activities to ensure compliance and support goal achievement
Identified and addressed performance issues to improve client outcomes.
Issue monthly bonus payments to clients for meeting and exceeding requirements
Evaluated available support service funds and allocated resources to address specific client needs and objectives
Verify property, liquid and vehicle assets on a continuous basis to ensure asset limits and program eligibility
Work Closely with Bureau of Child Support Enforcement during new Cash Assistance applications to determine good cause, paternity, and CSI related payment discrepancies
Verify residency by conducting home visits, verify activity by regular site visits
Supervised 8-10 employees in the event of supervisor absence or requested
Creating the Plan of the Day when needed for all employee assignments and task completion expectations
Identify error trends, keep detailed overtime logs and assist supervisors with backlog needs and with verifying overtime hours and tasks completed
Calls offs, scheduling and re-scheduling appointments
Thoroughly review all new worker cases prior to confirmation
Served on the Corrective Action Team from 2018 to 2023
ABAWD/ liaison for Marion and Monongalia Counties, Train staff in other new issue limited counties on ABAWD
Track monthly compliance to ensure accuracy, calculate client hours and participation, verify the validity of submitted volunteer and work requirement employers, vendors and services
Assist with the compilation and distribution of Unit Meeting agenda, take meeting notes, Interview and address questionable information, flags and data exchange alerts
Process verifications timely using appropriate requested income, household expenses, bank statements and correct household composition
Work Lottery, Medicaid, Unemployment and pending reports timely
Trouble shooting, approve overrides for medical and evaluate the need for establishing or removing Snap penalties
Issue, approve and deny manual Snap auxiliary requests as appropriate for Snap Benefits
Client Services complaint resolution, providing detailed responses within the provided deadline to include detailing the actions taken to correct and or resolve the outlined issue(s)
Medicaid eligibility, provide proof of coverage to clients and medical facilities and pharmacies when needed, evaluate backdated Medicaid requests, communicate clearly with approved hospital payee representatives regarding application status, troubleshooting, lapse in Medicaid coverage due to processing errors caused by delay
Utilize all approved verification systems to verify assets, transfer of assets, and explain the asset limits pertaining to Medicaid, Long term Care Medicaid, QMB, SLMB. QIA and the WV Works Program.
Assist clients with job service registration requirements
Adhere to policy requirements, educate clients on eligibility requirements and their appeal rights
Interviewed claimants to determine eligibility for unemployment compensation benefits
Interview claimants on overpayment details to include un-reported job separations discovered and fraud related overpayments
Take detailed fact finding statements for job separations, availability and overpayment decision purposes
Submit required information timely to the Claims Deputy to render a law based determination on job separations involving a voluntary quit or termination
Process new, continued and additional claims
Explain total and partial ( low earnings) claim requirements
Conduct new claim group information sessions
Explain the decision process and appeal rights
Explain base period and alternate base period wage information
Obtain all current and alternate base period wage information
Locate missing or out of state wages to establish accurate weekly benefit amounts
Demonstrate a calm and professional demeanor while taking sensitive statements
Protected PII and confidentiality while handling sensitive information, including assault and harassment details.
Perform cross match audits to ensure payment accuracy
Prepare fraud overpayment cases for supervisors to present in court
Conduct re-employment classes
Facilitated large group sessions for new claims following mass layoffs new claim group sessions following mass layoffs and Federal shutdown
Acknowledged Veterans Preference in all employment and training opportunities at all times for employment, promotions and training programs
Executed referrals for Veterans seeking job service assistance upon request for Veterans seeking DVOP job service assistance
Administer TABE Testing group sessions for special hiring events, apprenticeships and other opportunities to include proctoring large testing groups requiring careful oversight, scoring results, and preparing official TABE Test result documentation
Creating detailed job orders per employer specifications
Perform successful job matching of qualified applicants to satisfy employer vacancies and achieve job placements
Assist clients with MACC System features to include basic resume creation, labor marker information, in demand occupations and job fair location details
Represent WorkForce WV throughout the State while conducting information sessions, and job fairs
Accept payments from clients and employers
Complete Weekly Action reports to highlight positive local activity, weekly job placements, competitive wage opportunities, introducing new employer contacts, showcase partner success stories and present client achievements
Collaborate with local partners at quarterly team meetings to strengthen community resources and improve streamlining processes
Recipient of the "Barbara J." Demary Employee Excellence Award"
Received recognition for delivering positive and effective customer service