Fraud Ops Specialists Jobs (NOW HIRING)

Requisition No: 882537 

Agency: Children and Families

Working Title: ELIGIBILITY SPECIALIST II - 60059373

 Pay Plan: Career Service

Position Number: 60059373 

Salary:  AGENCY TO UPDATE 

Posting Closing Date: 09/06/2026 

Total Compensation Estimator Tool

Florida Department of Children & Families - Office of Economic Self-Sufficiency
ELIGIBILITY SPECIALIST II-GENERIC OR EDP UNIT

Location: ORLANDO (HURSTON BUILDING)

Annual Salary: $37,035.96 (Internal salaries determined by DCF salary policy)
If you are a current employee of the Florida Department of Children and Families, a State of Florida Government Agency, you can apply for this Career Service opportunity. Only employees of the Florida Department of Children & Families in Career Service, Selected Exempt Status (SES) or Other Personnel Services (OPS) positions can be considered.

Description: This is a professional position assigned to the Office of Economic Self-Sufficiency. Position provides back-up to the unit's supervisor in day-to-day duties which include but are not limited to; reviewing cases during the various processes in the service delivery model, performing case reviews for unit employees, giving feedback to strengthen accuracy rates and provide training and/or mentoring to unit members. The ESS II is expected to handle a high volume of work which is deadline driven requiring the ability to prioritize and plan work assignments while being flexible to change with little notice.
Minimum Requirements: At least 2 years' experience working in the Office of Economic Self-Sufficiency determining eligibility for food stamps, Medicaid, and Cash assistance as an Eligibility Specialist.
Typical Duties:
Performs quality management system reviews as assigned.
Reviews case reading errors with the Eligibility Self Sufficiency Specialist I and ensures corrections are completed accurately and timely.
Reviews and analyzes data from quality control and all monitoring sources and provides training in the areas in which problems are identified.
Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames as required by Federal and State laws and Department policy and procedures.
Maintains assigned work responsibilities by taking prompt action on all case management activities including medical expense (bill) tracking, changes, sanctions, data exchange, alerts, ad-hoc reports, and Medicaid file resolution.
Identifies cases of possible fraud and/or overpayment; makes appropriate referrals to fraud and overpayment departments.
Ensures electronic case records are documented thoroughly and properly as required by Departmental procedures.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of public assistance program objectives and policies.
Knowledge of problem-solving techniques.
Knowledge of training principles and practices.
Knowledge of goal setting techniques.
Knowledge of arithmetic.
Skills in operating a personal computer.
Ability to perform complex arithmetic operations.
Ability to conduct fact-finding interviews.
Ability to accurately prepare and maintain records and reports.
Ability to work with a diverse range of people.
Ability to deal calmly and effectively in high stress situations.
Ability to compose documents involving technical information.
Ability to interpret and apply regulation materials.
Ability to prioritize and meet deadlines.
Ability to establish and maintain effective communication.
Ability to communicate effectively both orally and in writing.
Ability to apply ethical business practices.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS' PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans' Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement.