Compliance Investigator Manager

Baton Rouge, LA - USA

Monthly Salary: $ 5023 - 9856

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

About this Job

Office of Workers Compensation
Division: Fraud Claims
Location: Baton Rouge LA

Office of Workers Compensation
The Louisiana Works is seeking anCompliance Investigator Manager to join the Office of Workers Compensation. The Office of Workers Compensation Administration (OWCA) in Louisiana oversees the enforcement and administration of workers compensation laws aiming to support early return-to-work efforts and improve workplace safety. The department manages disputed claims conducts hearings reviews medical treatment disputes and investigates fraud through collaborative efforts like the GAME ON task force. The OWCA also provides OSHA consultation services to high-risk industries while Records management maintains detailed records and reporting systems including electronic submissions of injury reports. Additionally OWCA conducts financial audits and ensures compliance among self-insured employers and insurance carriers. OWCA does not process individual workers compensation claims or issue benefit payments. They also do not help injured workers with the claims management.

TheCompliance Investigator Managerwill manage the statewide Fraud and Compliance Program within the Office of Workers Compensation Administration (OWCA). The program investigates and collects evidence on cases suspected of violating the Louisiana Workers Compensation Act . La. R.S. 23:1168 La. R.S. 23:1208 et seq.) and monitors employer compliance statewide.

TheCompliance Investigator Managerwill assign staff to conduct field investigations audits compliance verification and penalty collection. This position provides leadership in managing operational goals developing enforcement procedures and ensuring adherence to applicable statutes and administrative rules.

This role differs from a Compliance Investigator Administrator by the absence of administering all agency-wide investigative activities but it manages the day-to-day work of the Fraud and Compliance Division serves as spokesperson in the absence of Administrators and may oversee budget tracking.

Minimum Qualifications

Seven years of experience in accounting auditing administrative services building inspection real estate appraisal law enforcement investigations or in the issuance or recommendation of medical licenses; OR

Six years of full-time work experience in any field plus four years of experience in accounting auditing administrative services building inspection real estate appraisal law enforcement investigations or in the issuance or recommendation of medical licenses; OR

A bachelors degree plus four years of experience in accounting auditing administrative services building inspection real estate appraisal law enforcement investigations or in the issuance or recommendation of medical licenses; OR

An advanced degree plus three years of experience in accounting auditing administrative services building inspection real estate appraisal law enforcement investigations or in the issuance or recommendation of medical licenses.

EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Job Specification

The official job specifications for this role as defined by the State Civil Service can be found here.

Job Duties and Other Information

Job Details:

Manage a caseload of fraud files oversee fraud audits and assist in prosecution of employer workers compensation fraud cases statewide.
Perform financial and compliance audits for fraud cases and coordinate with the Unemployment Insurance unit for LAWATS and audit reporting.
Review and approve investigative findings ensuring consistency and quality across cases.
Develop implement and monitor investigative methods evidence collection procedures and case presentation standards.
Ensure employer compliance with Louisiana workers compensation coverage requirements; collect penalties for non-compliance including assessment of liens on property.

Position Specific Details:
Location: Baton Rouge La

Appointment Type: Probational / Job Appointment / Promotional / Detail to Special Duty

How to Apply:
No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy click on theApplylink above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their applications to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

* Information to support your eligibility for this job title must be included in the application (i.e. relevant detailed experience/education). ResumesWILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

All applicants selected for employment must submit to drug screening and a background check.

Contact Information:
For further information about this vacancy contact:
Kedrick Kennedy

The Louisiana Works is an equal employment opportunity employer and SAME agency that serves as a model employer for the recruitment hiring and retention of individuals with disabilities. Auxiliary aids and services are available upon request to individuals with disabilities TDD#

Required Experience:

Manager