Fraud & Recoupment Specialist

About the role

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.

Responsibilities

• 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

• 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.
• 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

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, networking programs, and the chance to make a lasting impact on the lives of others. Equus is strengthened by diversity and is committed to providing an inclusive work environment where everyone is treated fairly and with respect. Equus Workforce Solutions is 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, disability, or any other characteristic protected by law.