Job Details

Compliance Investigator

The Compliance Investigator 1/2/3 will conduct independent investigations of suspected workers' compensation fraud and violations of state and federal laws, agency policies, and regulations. The position analyzes claims, payroll records, public records, and electronic databases to identify irregularities, determine involvement, and develop cases. Responsibilities include gathering and preserving evidence, documenting findings, preparing cases for prosecutorial referral, and maintaining confidential investigative records in accordance with applicable statutes.

An ideal candidate will possess the following competencies:

• Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
• Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
• Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well-supported conclusions.

Minimum Qualifications

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; OR Six years of full-time work experience in any field; OR A bachelor's degree. 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 Duties and Other Information

Job Details:

• Monitor timeliness of responses and makes recommendation to supervisor for appropriate penalty assessment based upon research conducted to determine total number of employees and length of time employer has been determined non-compliant utilizing internal and external data sources.
• Analyze evidence and determine if further criminal or civil action is needed.
• Responsible for contacting employers in Louisiana to determine compliance with workers' compensation laws.
• Draft comprehensive investigative reports, for regulatory submission, to document findings and present information to senior management.
• Review Electronic Data Processing (EDP) generated cross-match cases and determine whether further investigation is warranted.
• Issue subpoenas duces tecum when requests for information are ignored.

Position-Specific Details:

Location: Baton Rouge, La

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

Career Progression Group: Compliance Investigator 1, 2, or 3

Benefits

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at

Parental Leave – Up to six weeks paid parental leave More information can be found at

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day
• Martin Luther King, Jr. Day,
• Mardi Gras,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and Christmas Day.

Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
• Teacher's Retirement System of Louisiana (www.trsl.org),
• Louisiana School Employees Retirement System (www.lsers.net), among others