Investigations Manager

Summary

Investigations ManagerDWC / Fraud & NoncomplianceAnnual Salary Range: $65,000 - $75,000* Please Note: The salary/salary range listed in this job description is a base salary only and does not include years-of-service adjustments. Applicants eligible for years-of-service adjustments may exceed the salary/salary range listed above.Why you will love this position:The Fraud and Noncompliance Unit promotes a safe, supportive, fair, and equitable work environment by preserving the integrity of Missouri's Workers' Compensation system. The Division of Workers' Compensation offers a dynamic, energetic and engaging environment in which to flourish and demonstrate operational excellence. The Division is modernizing its internal and external processes and procedures, and there is an immense opportunity to contribute to an exciting, forward-thinking, fast-moving, collaborative environment. As part of the team, you will enjoy the genuine spirit of cooperation and shared goals all revolving around helping the citizens of Missouri.What you will do:Direct, plan, and analyze daily operations of the Fraud and Noncompliance Unit.Conduct fraud and noncompliance investigations and provide guidance and assistance to other investigators preparing for and investigating allegations of fraud and noncompliance, under the Workers' Compensation Law.Develop impactful performance metrics and management plans, conduct performance evaluations and analyze data in order to proactively identify areas for improvement.Actively participate in forward-thinking modernization discussions and champion modernization efforts within the Fraud and Noncompliance Unit and across the Division.Represent the Fraud and Noncompliance Unit at various governmental, civic and labor functions and provide educational and informational presentations explaining statutory and regulatory requirements in regard to the Workers' Compensation Law.Review written investigation reports for clarity, accuracy, investigative sufficiency, and timeliness.Recommend investigations for referral to the Office of the Attorney General for possible prosecution.All you need for success:Qualifications8 years of progressive experience conducting formal investigations, workers' compensation claims, or forensic financial auditing, with at least 2 years in a direct supervisory or managerial capacity OR a Bachelor's degree in an applicable field of study such as Criminal Justice, Criminology, Psychology, Public Administration, Business Administration, or Pre-law and 4 years of relevant experienceLack of post-secondary education will not be used as the sole basis for denying consideration to any applicant.Desired AttributesPossess strong leadership and management skillsAbility to manage change, provide program management, and achieve resultsAttention to detailExperience conducting fraud and noncompliance investigations, specifically relating to the workers' compensation industryExpert knowledge of workers' compensation statutes and regulationsRelevant professional designation(s) such as Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI), Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC), Associate in Risk Management (ARM), etc.Ability to utilize technology to facilitate process improvements and enhance efficienciesComprehensive knowledge of the procedural requirements and differences of administrative, criminal, and civil casesComprehensive knowledge of investigative techniques and procedures to include interviewing, evidence collection and preservation, and documentation of case informationAbility to review and/or prepare and present investigation reports, expert testimony and evidence to prosecutors, administrative review boards, grand juries, and court officialsComprehensive knowledge of current investigative issues and theories.More reasons to love this position:The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.Ben Qualls at [email protected]#J-18808-Ljbffr

Job Description

Investigations ManagerDWC / Fraud & NoncomplianceAnnual Salary Range: $65,000 - $75,000* Please Note: The salary/salary range listed in this job description is a base salary only and does not include years-of-service adjustments. Applicants eligible for years-of-service adjustments may exceed the salary/salary range listed above.Why you will love this position:The Fraud and Noncompliance Unit promotes a safe, supportive, fair, and equitable work environment by preserving the integrity of Missouri's Workers' Compensation system. The Division of Workers' Compensation offers a dynamic, energetic and engaging environment in which to flourish and demonstrate operational excellence. The Division is modernizing its internal and external processes and procedures, and there is an immense opportunity to contribute to an exciting, forward-thinking, fast-moving, collaborative environment. As part of the team, you will enjoy the genuine spirit of cooperation and shared goals all revolving around helping the citizens of Missouri.What you will do:Direct, plan, and analyze daily operations of the Fraud and Noncompliance Unit.Conduct fraud and noncompliance investigations and provide guidance and assistance to other investigators preparing for and investigating allegations of fraud and noncompliance, under the Workers' Compensation Law.Develop impactful performance metrics and management plans, conduct performance evaluations and analyze data in order to proactively identify areas for improvement.Actively participate in forward-thinking modernization discussions and champion modernization efforts within the Fraud and Noncompliance Unit and across the Division.Represent the Fraud and Noncompliance Unit at various governmental, civic and labor functions and provide educational and informational presentations explaining statutory and regulatory requirements in regard to the Workers' Compensation Law.Review written investigation reports for clarity, accuracy, investigative sufficiency, and timeliness.Recommend investigations for referral to the Office of the Attorney General for possible prosecution.All you need for success:Qualifications8 years of progressive experience conducting formal investigations, workers' compensation claims, or forensic financial auditing, with at least 2 years in a direct supervisory or managerial capacity OR a Bachelor's degree in an applicable field of study such as Criminal Justice, Criminology, Psychology, Public Administration, Business Administration, or Pre-law and 4 years of relevant experienceLack of post-secondary education will not be used as the sole basis for denying consideration to any applicant.Desired AttributesPossess strong leadership and management skillsAbility to manage change, provide program management, and achieve resultsAttention to detailExperience conducting fraud and noncompliance investigations, specifically relating to the workers' compensation industryExpert knowledge of workers' compensation statutes and regulationsRelevant professional designation(s) such as Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI), Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC), Associate in Risk Management (ARM), etc.Ability to utilize technology to facilitate process improvements and enhance efficienciesComprehensive knowledge of the procedural requirements and differences of administrative, criminal, and civil casesComprehensive knowledge of investigative techniques and procedures to include interviewing, evidence collection and preservation, and documentation of case informationAbility to review and/or prepare and present investigation reports, expert testimony and evidence to prosecutors, administrative review boards, grand juries, and court officialsComprehensive knowledge of current investigative issues and theories.More reasons to love this position:The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.Ben Qualls at [email protected]#J-18808-Ljbffr