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You are here: www.tdi.texas.gov . jobs . postings . job17151

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Texas Department of Insurance

The Texas Department of Insurance (TDI) is a state agency responsible for both consumers and the insurance industry. We work to fulfill our legislative mandate to regulate the insurance industry, administer the Texas workers’ compensation system, and promote a healthy insurance marketplace, while also protecting the people and the businesses that are served by insurance. We take our responsibility to Texans seriously and strive for excellent customer service through our professional attitude, competence and efficiency.

Important notice: Read before you apply

Veterans’ Preference:

To receive veterans’ preference, applicants must provide at least one the following documents with their State of Texas Application:

  • a copy of the DD 214, member #4;
  • a statement of compensation from the Veterans Benefits Administration; or
  • a copy of the DD 1300.

Applicable Military Occupational Specialty (MOS) codes are included, but not limited to the following: 31A, 31B, 31D, 311A, MA, 401, 023, 5805, 5821, 7S0X1, 71SX

Additional Military Crosswalk information can be accessed at:

http://www.hr.sao.state.tx.us/Compensation/MilitaryCrosswalk/MOSC_InspectorsandInvestigators.pdf

Current Opportunity: Investigator Team Lead

Internal/External Posting – TDI Employees and General Public

Investigates fraudulent insurance acts committed by providers, claimants, and employers against insurers relating to workers’ compensation insurance policies.

This position:

  • oversees and conducts investigations involving workers’ compensation fraud including reviewing documents, interviewing witnesses and preparing financial analyses;
  • organizes and maintains case files and evidence;
  • documents investigative findings in clear and concise formats;
  • monitors the quality and quantity of investigations conducted;
  • reviews investigative techniques, policies, and regulations; and recommends improvements, changes, or modifications;
  • may plan, assign, and/or supervise the work of others:  
  • develops and conducts training;
  • provides testimony and technical support in connection with judicial proceedings;
  • coordinates criminal investigations and maintains contact with various state or federal law enforcement organizations relative to insurance fraud matters;
  • reviews legal aspects of investigations and recommends action as appropriate;
  • completes unit and agency administrative reports as required; and
  • travels in order to complete investigations.

Qualifications

Graduation from an accredited four- year college or university with a degree in accounting, finance, business, or criminal justice. Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.


Additionally, this position:

  • requires five years of experience in financial investigation or complex financial analysis and/or criminal investigation with at least 2 of the five years supervising criminal investigations.

Preferences for this position include:

  • certification as a Fraud Examiner;
  • specialized training in fraud investigation; and
  • experience managing staff, resources and or projects.

This position requires demonstrated knowledge of:

  • Texas Penal Code and Code of Criminal Procedures;
  • the Rules of Evidence;
  • grand jury and courtroom procedures;
  • criminal investigative processes;
  • cooperation with multi agencies;
  • interview and interrogation techniques;
  • police practices and procedures;
  • police report writing;
  • planning and conducting complex investigations; and
  • word processing and electronic spreadsheets.

This position requires demonstrated skill in:

  • decision making, planning, and problem solving;
  • effectively obtaining statements from witnesses and suspects;
  • networking with law enforcement authorities;
  • using Microsoft Office software applications; and
  • operating a motor vehicle in highly congested traffic conditions in a safe courteous manner in compliance with traffic laws.

This position requires the demonstrated ability to:

  • comprehend and apply criminal statutes and the Texas Insurance Code and Texas Labor Code;
  • apply critical thinking to conduct investigations related to workers’ compensation insurance fraud;
  • research rules and statutes and apply knowledge to individual cases;
  • effectively and efficiently analyze correspondence, business records, complex financial statements, reports and forms to extract relative information;
  • audit accounts, statements, reports, policy forms and other records of insurance companies;
  • exercise independent judgment and use discretion in making decisions relative to assigned investigation;
  • effectively write an investigation report;
  • work independently and meet deadlines;
  • communicate effectively;
  • develop and conduct training;
  • plan, assign and/or supervise the work of others;
  • follow chain of command, and directions;
  • establish and maintain effective working relationships with staff, other employees, the insurance industry and the general public;
  • maintain professional demeanor and conduct;
  • satisfy the conditions required to maintain fully-qualified driving status;
  • drive a vehicle for an extended period of time; and
  • lift 25 lbs.

Position Details

Opening Date:05/03/2017
Functional Title:Investigator Team Lead
Classification Title:Investigator VII
Status:Internal/External Posting – TDI Employees and General Public
Application Deadline:Until Filled
Pay Group:B24
Monthly Salary: $5000.00
Annual Salary:$60,000.00
Job Posting Number:17-151
Division:Division of Workers’ Compensation/System Monitoring & Oversight – DWC Fraud Unit
Location:7551 Metro Center Drive, Ste. 100, Austin, TX 78744
Travel Required:30 %

For more information, contact:

Last updated: 05/25/2017

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