Fraud & Recoupment Specialist

Posted 29 Days Ago
Be an Early Applicant
Houston, TX, USA
In-Office
Mid level
HR Tech • Information Technology • Professional Services • Social Impact
The Role
Reviews records to identify fraud, waste, abuse, misrepresentation, overpayments, and compliance concerns. Prepares fraud referrals, maintains confidential case documentation, supports recoupment and audits, conducts file reviews, tracks investigations, identifies program-integrity risks, and educates staff on fraud prevention and documentation requirements. Requires local travel and maintenance of a valid driver’s license, insurance, and acceptable MVR.
Summary Generated by Built In
Company Description

We help job seekers and career changers prepare for and advance in careers with a focus on sustainable, high-growth, high-demand industries. Our committed and well-trained workforce professionals deliver comprehensive workforce solutions at integrated career centers, sector-focused centers and community, and partner sites.

Job Description

The Fraud & Recoupment Specialist supports program integrity by reviewing documentation, identifying potential fraud, waste, abuse, misrepresentation, and overpayments, and coordinating referrals to Board investigators. This position maintains case documentation, tracks fraud and recoupment activities, supports audits and compliance reviews, and helps ensure compliance with applicable program requirements while safeguarding public funds.

  • Review participant, employer, vendor, and program records to identify potential fraud, waste, abuse, misrepresentation, overpayments, and compliance concerns.
  • Collect, organize, and maintain documentation supporting fraud referrals and recoupment activities.
  • Prepare and submit fraud referrals and supporting case documentation to Board investigators.
  • Track, monitor, and maintain confidential records related to fraud referrals, investigations, and recoupment efforts.
  • Assist with the recovery of overpayments and improper payments in accordance with applicable policies and procedures.
  • Conduct file reviews and monitoring activities to ensure compliance with program requirements and contract standards.
  • Prepare reports and provide documentation for audits, monitoring reviews, and compliance assessments.
  • Identify trends, risks, and process improvement opportunities related to program integrity and fund recovery.
  • Educate staff on fraud prevention, compliance requirements, and documentation standards.
  • Perform other duties as assigned.

Qualifications

Education

  • Bachelor's degree in Business Administration, Public Administration, Criminal Justice, Accounting, Finance, Human Resources, or a related field preferred.
  • Equivalent combination of education and relevant experience may be considered.

Experience

  • Three (3) years of experience in compliance, auditing, workforce development, quality assurance, case management, recoupment, or related functions preferred.
  • Experience working with WIOA or other federally funded programs preferred.

    Valid driver's license, proof of automobile insurance, and an acceptable Motor Vehicle Record (MVR) are required. Must maintain these requirements throughout employment and be able to travel locally as needed.

    Additional Information

    All your information will be kept confidential according to EEO guidelines.

    Equus Workforce Solutions is a leading provider of workforce development services in North America. With a dedicated and passionate team, Equus puts the industry’s best practices to work by focusing on the development, design, and delivery of demand-driven workforce solutions.

    When you join Equus, you can expect extensive learning opportunities and networking programs. But most of all you can expect to make a lasting impact on the lives of others.

    At Equus we are strengthened by diversity. We are committed to providing a work environment in which everyone is included, treated fairly and with respect. Equus Workforce Solutions is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, age, pregnancy, sexual orientation, gender identity, ancestry, religion, national origin, veteran status, physical or mental disability, or reprisal or any other characteristic protected under state, federal, or local law.

    Skills Required

    • Valid driver's license
    • Proof of automobile insurance
    • Acceptable Motor Vehicle Record (MVR)
    • Bachelor's degree in Business Administration, Public Administration, Criminal Justice, Accounting, Finance, Human Resources, or a related field
    • Equivalent combination of education and relevant experience
    • Three years of experience in compliance, auditing, workforce development, quality assurance, case management, recoupment, or related functions
    • Experience with WIOA or other federally funded programs
    • Ability to travel locally as needed
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    The Company
    HQ: Louisville, KY
    3,500 Employees
    Year Founded: 1974

    What We Do

    Equus Workforce Solutions is a comprehensive provider of workforce development services in North America, helping job seekers and career changers prepare for and advance in careers, while also working to advance economies and help communities thrive.

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