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Legal - Fraud Prevention Specialist

4 months ago

Los Angeles, United States Crystal Stairs Full time
Crystal Stairs, Inc.

Improving the Lives of Families through

Child Care Services, Research, and Advocacy

Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations.
Fraud Prevention Specialist

100% Onsite - Los Angeles CA 90056
SUMMARY:

The Fraud Prevention Specialist supports the agency's program integrity and fraud prevention efforts. The Specialist will review and assess fraud allegations related to the agency's program to determine the appropriate course of action. Specialist collaborates in the decision-making process related to action steps for fraud investigations. Specialist acts as liaison between various departments within the agency, funders, and law enforcement officials.
RESPONSIBILITIES/ESSENTIAL FUNCTIONS:
  1. Research and analyze information related to program fraud allegations.
  2. Make referrals of suspected childcare fraud to funder.
  3. Serves as a custodian of records on behalf of agency program records.
  4. Create and recommend plans for investigation of potential fraud cases and other irregularities.
  5. Review files, research relevant documents, conduct interviews, and internet searches.
  6. Effectively document investigation findings to determine substantiated program violations.
  7. Coordinate and comply with all lawful requests for information from law enforcement, governmental entities,
    and agencies (e.g., District Attorney's Office, DPSS, Housing Authority, etc.).
  8. Order, make photocopies, and assemble documents as requested by County DPSS and other government agencies.
  9. Create and maintain fraud case files and input data into database.
  10. Testify in court as a witness on behalf of the Agency.
  11. Perform other duties as assigned.
Qualifications, Skills, Education and Experience:
  • Requires a Bachelor's degree from an accredited university. Coursework in legal education or criminal justice is preferred. Related work experience in case management/program compliance may be substituted for college-level education.
  • Requires a minimum of two years of related work experience in fraud prevention, social services, benefits eligibility, or compliance.
  • Requires critical analytical skills and the exercise of independent judgment to discern facts and circumstances to determine actions needed within the limits of standard practice.
  • Must be familiar with benefit eligibility requirements for childcare subsidy programs or other social services benefit programs.
  • Must have objectivity, impartiality, and skill in maintaining a neutral perspective related to research and investigations.
  • Should be able to identify fraud-related issues and distinguish fraud from errors.
  • Requires excellent customer relations and communication - verbal, written, and presentation skills.
  • Must have up to date COVID vaccination
Total Package of Benefits:
  • Medical/ Dental/ Vision - 95% paid by employer
  • Life and Pet Insurance (Optional)
  • 401k Matching Options
  • Flex Spending
  • Pre-paid Legal Services
  • Sick and Vacation Time
  • Paid Holidays
  • Opportunity for Growth and Development
  • Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM


Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status.

Additional Requirements: Must be fully vaccinated and remain fully vaccinated against COVID-19. Per the CDC, fully vaccinated means at least 2 weeks after (1) a second dose in a 2-dose series, or (2) a single-dose vaccine, and this status and definition applies to COVID-19 vaccines currently authorized for use or approved by the U.S. Food and Drug Administration.

For more information about Crystal Stairs, Inc. please visit our website at: