Compliance/Audit Investigator 3

State Of Nevada Henderson , NV 89044

Posted 2 days ago

The Position

Compliance/Audit Investigators perform investigative and auditing functions to monitor compliance and detect violations of State and/or federal laws or regulations pertaining to a specific program or regulatory area such as securities, Medicaid, mortgage lending, or workers' compensation. Investigators allocated to this series do not require P.O.S.T. certification.

Incumbents possess a degree of knowledge and proficiency sufficient to perform advanced-level work and may provide work direction and training to others.

The Department of Business & Industry, Division of Industrial Relations, Workers' Compensation Section is recruiting for a Compliance/Audit Investigator 3 position located in Las Vegas, Nevada. The position is assigned to the Uninsured Employer Claims Account (UECA). The uninsured claims coordinator spends the preponderance of time coordinating workers' compensation claims assigned to the UECA; monitors all claims sent to the Third-Party Administrator (TPA) contracted with the State; coordinates all funding requests related to these claims and oversees the management of claims by the TPA to ensure that injured employees receive accurate and timely delivery of all workers' compensation benefits to which they are entitled to.

Additional job duties include: review claims that have been recommended for assignment to the UECA by the employer enforcement unit; review final audit reports and complaints for accuracy, clarity, format and ensure that policy and procedures were followed; and review final audit reports for the Subsequent Injury Fund. In addition, the position reviews requests for modifications to State mandated forms from Employers, TPAs, Insurers & Providers. This position requires a working knowledge of workers' compensation claims handling. Must have experience working with and applying NRS/NAC 616 A through D and NRS 617, which applies to the Nevada workers' compensation system.

To see full Class Specifications visit: http://hr.nv.gov/Resources/ClassSpecs/Class_Specifications-11_0/

To Qualify:

In order to be qualified, you must meet the following requirements:

Education and Experience (Minimum Qualifications) Bachelor's degree from an accredited college or university in business or public administration, business management, accounting, or related field and three years of professional experience in an investigative, auditing or program-related position which required the application of state and/or federal laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR graduation from high school or equivalent education and five years of experience, three of which were in a professional investigative, auditing or professional program-related position which required the application of state and/or federal laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR an equivalent combination of education and experience; OR one year of experience as a Compliance/Audit Investigator II in Nevada State service. Special Requirements A valid driver's license is required at the time of appointment and as a condition of continuing employment. Additional Position Criteria Experience working with Nevada workers' compensation claims.



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Compliance Investigator 2

State Of Nevada

Posted 5 days ago

VIEW JOBS 4/18/2019 12:00:00 AM 2019-07-17T00:00 The Position Compliance Investigators perform investigations regarding violations of State and/or federal laws or regulations pertaining to a specific State program or regulatory area such as public assistance, real estate, insurance, employment discrimination or sexual harassment. Incumbents possess a degree of knowledge and proficiency sufficient to perform work independently with little or no additional training. Compliance Investigators are responsible for performing investigations regarding the violations of State and/or federal laws or regulations pertaining to dealers, brokers, drive schools, garages, auto body shops, wreckers and salvage pools. Incumbents work to ensure regulations are being adhered to throughout the automotive industry. Investigators perform inspections of the businesses regulated by the NV Department of Motor Vehicles in order to monitor compliance and detect violations of the State of Nevada Statutes and Administrative Codes. Compliance Investigators are also tasked with investigating complaints and collecting facts in order to facilitate the determination of whether an entity or individual has committed violation(s); prepare concise written reports of investigative findings and recommendations as they relate to the applicable statutes/codes; and testify at Administrative Hearings. This position(s) is located at any major DMV office within the Compliance Enforcement Division. Appointment(s) to this position will be responsible for overseeing the automotive industry located in the Southern region of Nevada. Expected travel related to inspections and investigations is 50% of the time. The Department of Motor Vehicles is required to comply with NRS 239B.010.1.b and 6 CFR 37.45 which allows an agency to conduct a Federal Bureau of Investigations (FBI) fingerprint clearance check. Any convictions identified in NRS 205 disqualifies any employee or vendor employee from obtaining access to the DMV Computer System. Identified are Posting or displaying the Social Security Number of another person, Unlawful acts regarding Personal Identifying Information (PII), Unlawful acts regarding computers and information services, Use of Payment Cards, re-encoders and scanning devices to defraud, Unlawful acts regarding credit cards and debit cards. Convictions in the following are also disqualifying: Fraud, Theft, Embezzlement, Forgery, Counterfeiting, Falsely impersonating another. 49 CFR 1572.103 provides that an agency involved in the issuance of Real ID Driver's Licenses and Identification Cards shall not knowingly employ a person if they have been convicted of any of the felonies listed under this regulation, which include Espionage, Sedition, Treason, Terrorism, Transportation Security Incident, Improper Transportation of a Hazardous Material, Unlawful Possession of Explosives, Murder, Making any Threat Concerning a Lethal Device, or Racketeering. Additional Real ID criteria provides that the DMV shall not employ a person if they have been convicted of a felony within 7 years of their application or if an applicant was released from incarceration for one of these crimes within five years of their application including Unlawful Firearm Violations, Extortion, Fraud, Bribery, Smuggling, Immigration Violations, Distribution of Controlled Substances, Arson, Kidnapping, Rape or Sexual Abuse, Assault With Intent to Kill, Robbery or Fraudulent Seaport Entry. * THIS RECRUITMENT MAY CLOSE AT ANY TIME BASED ON THE AMOUNT OF APPLICATIONS RECEIVED. QUALIFIED APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE. * To see full Class Specifications visit: http://hr.nv.gov/Resources/ClassSpecs/Class_Specifications-11_0/ To Qualify: In order to be qualified, you must meet the following requirements: Education and Experience (Minimum Qualifications) Bachelor's degree from an accredited college or university in criminal justice, political science, psychology, social work, business administration or other discipline related to the assignment and one year of investigative experience as an investigator in a specified program area where standard investigative techniques were utilized to make program compliance determinations and prepare detailed reports for the purpose of justifying administrative sanctions, penalties or criminal prosecution. Work experience may be obtained in a law enforcement, investigative, regulatory or compliance setting; OR graduation from high school or equivalent education and three years of experience as described above; OR an equivalent combination of education and experience; OR one year of experience as a Compliance Investigator I in Nevada State service. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. A valid driver's license or evidence of equivalent mobility is required at the time of appointment and as a condition of continuing employment. This position requires up to 50% of local and overnight travel. Pursuant to NRS 284.4066, some positions in this series have been identified as affecting public safety. Persons offered employment in these positions must submit to a pre-employment screening test for controlled substances. State Of Nevada Henderson NV

Compliance/Audit Investigator 3

State Of Nevada