***WORKING TITLE: INVESTIGATOR*** Two (2) positions
The North Carolina Industrial Commission is a quasi-judicial agency responsible for administering the North Carolina Workers’ Compensation Act.
This position serves as a law enforcement officer working in the Fraud Investigation Unit of the Insurance Compliance and Fraud Investigation Section. The Investigator works in accordance with Chapter 97 of the Workers’ Compensation Act. The Investigator will identify, collect, analyze, and preserve evidence of workers’ compensation crimes employing law enforcement skills, with a focus to deter and detect violations. Work involves responding to and investigating complaints or calls, detecting violations, collection and preservation of evidence, testimony in court proceedings as necessary, and performing related work. During the course of the investigation, the Investigator may examine or assist with the examination of various insurance documents and records, as well as non-insurance documents and records. These documents may be in written and/or electronic form. Furthermore, the Investigator will interview and interrogate related subjects identified during the course of the investigation. It is essential that the Investigator maintain a current working knowledge of criminal statutes, the laws of arrest, search and seizure, and all procedural legislative acts that directly apply to conducting criminal investigations.
Knowledge, Skills and Abilities / Competencies:
The Investigator must have the ability to perform and supervise complex investigations of financial crimes and violations of the Workers’ Compensation Act and related laws. The Investigator must possess a working knowledge of the laws, rules and regulations pertaining to the insurance industry. The Investigator must possess thorough knowledge of the Industrial Commission’s administrative rules, regulations, and procedures. The Investigator must have a thorough knowledge of legal precedence, and techniques of conducting criminal investigations in the detection, apprehension and support of prosecution of individuals and corporate entities committing workers’ compensation insurance crimes. The Investigator must have the ability to examine all types of insurance and business records, extract important factual data there from, relate the data to other evidence developed, and present the findings in such a form as to reveal clearly and in an orderly manner the scheme or device employed in the commission of an insurance related crime.
The Investigator must have the ability to articulate clearly the identified violations in an investigative report, which is used by the prosecutor in support of the prosecution of individuals identified during the investigation. Extensive knowledge of workers’ compensation investigations, practices of insurance carriers, self-insurers, and health care providers: have prior investigative experience, case preparation experience and experience managing large case loads.
Minimum Education and Experience Requirements:
Bachelor’s degree from an appropriately accredited institution and two years of progressive law enforcement experience in the area of assignment; or an equivalent combination of education and experience.
Necessary Special Qualification
Must meet certification as a Law Enforcement Officer in accordance with the provisions of the NC Criminal Justice and Standards Commission or the ability to achieve certification within one year of employment, including any annual training requirement.
All applicants must complete an on-line application using this link http://www.osp.state.nc.us/jobs/index.html . Using "See Resume" instead of completing the education and experience portion of the profile is not acceptable and will result in an incomplete application.
Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax.
Applicants seeking Veteran's Preference must submit a DD Form 214, Certificate of Release, or Discharge from Active Duty. This information may be attached to the on-line application or may be faxed.
All applicants recommended will be subject to a criminal background check.
Applications for positions requiring specific coursework must be accompanied by a copy of the applicant’s transcript.
Supplemental and Contact Information:
Deborah W. O'Neal
N. C. Dept. of Commerce
301 N. Wilmington Street
4306 Mail Service Center
Raleigh, NC 27699
Phone: (919) 733-2104
Fax: (919) 715-3183
North Carolina Office of State Human Resources
- 17 months ago - save job