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You are here: Home . jobs . postings . job17242

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

Internal/External-TDI Employees and the General Public

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


This position:

  • 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;
  • uses a case management system to document investigative activity;
  • prepares summaries of financial transactions for referral to Federal and State prosecutors;
  • extracts financial data from case files for entry into data bases;
  • 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 three years of experience in financial investigation or complex financial analysis and/or criminal investigation, and prefers specialized training in fraud investigation and certification as a Fraud Examiner.


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;
  • 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:

  • planning, decision making and problem solving;
  • effectively obtaining statements from witnesses and suspects;
  • networking with law enforcement authorities; 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 when conducting investigations related to workers’ compensation insurance fraud;
  • research rules and statutes and apply knowledge to individual cases;
  • analyze correspondence, business records, and other documents to extract relative information;
  • effectively and efficiently analyze complex financial statements, reports and forms;
  • 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;
  • 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;
  • drive a vehicle for an extended period of time;
  • satisfy the conditions required to maintain fully-qualified driving status; and
  • lift 50 lbs.

EMPLOYMENT WILL BEGIN ON OR AFTER SEPTEMBER 1, 2017

Position Details

Opening Date:08/23/2017
Functional Title:Investigator
Classification Title:Investigator V
Status:Internal/External-TDI Employees and the General Public
Application Deadline:Until Filled
Pay Group:B20
Monthly Salary: $4,301.17
Annual Salary:$51,614.04
Job Posting Number:17-242
Division:System Monitoring & Oversight /DWC Fraud Unit
Location:7551 Metro Center Dr., Suite 100, Austin TX 78744
Travel Required:30 %

 

For more information, contact:

Last updated: 08/23/2017

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