Cleveland - BWC Fraud Investigator - PN: 20066769

State of Ohio • Cleveland, OH

6d • Onsite

About The Position

The State of Ohio, Bureau of Workers' Compensation (BWC) is seeking a Fraud Investigator. This role involves investigating potential fraudulent activities related to workers' compensation claims. The investigator will be responsible for gathering evidence, interviewing subjects, preparing detailed reports, and potentially testifying in legal proceedings. The position is based in Cleveland and requires adherence to state and federal laws, as well as BWC policies. The role is part of the OCSEA bargaining unit, with internal bargaining unit members having selection rights.

Requirements

• Completion of associate core program in criminology, criminal justice, or law enforcement; 18 mos. exp. in conducting criminal investigations. (Note: conducting criminal investigations is defined as performing field interviews & interrogation, field surveillance, field information & evidence gathering techniques while conducting investigations involving violations of criminal law (i.e., special emphasis on theft & fraud cases) as well as researching various administrative laws, policies & procedures related to commission of possible criminal offenses); if required to operate state vehicle valid driver’s license.
• For positions focused on forensic accounting/auditing: Completion of associate core program in forensic accounting/auditing or accounting: 18 mos. exp. in performing forensic accounting/auditing duties; if required to operate state vehicle valid driver’s license.
• The final applicant accepted for this position must successfully pass state highway patrol personal background check prior to employment.
• Pursuant to Ohio Administrative Code Chapter 4501 users of system shall adhere to policies & guidelines published in NCIC operating manual, CJIS security policy, LEADS operating manual, LEADS security policy, newsletters, & administrative messages from LEADS, all of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS security policy (revised 05/07/03) state & national fingerprint-based record checks must be conducted within 30 days of initial employment or assignment of all personnel, including appropriate IT personnel, having access to LEADS, or to records storage areas containing CCH/II data; minimum check must include submission of both a State of Ohio BCI&I card & an FBI applicant fingerprint card; both completed applicant fingerprint cards must be submitted by employing agency to State of Ohio Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this check must be kept by employing agency & made available to LEADS upon request; fingerprint card returned by Ohio BCI&I is sufficient documentation.
• Pursuant to Ohio Administrative Code Chapter 4501 terminal agency shall conduct a complete background investigation of all terminal operators including, but not limited to: an applicant fingerprint card submission to BCI&I & FBI, an inquiry of state & national arrest & fugitive files; terminal agency is required to notify CTO of any applicant’s criminal record; existence of a criminal record may result in denial of access.
• Knowledge of: criminology, criminal justice or law enforcement; BWC, state & &/or federal statutes, rules, regulations & procedures applicable to investigations, evidence gathering & search & seizure; public relations; interviewing, case preparation; LEADS operator rules & regulations; human relations.
• Skill in: operation of personal computer, word processor, database & spreadsheet software, analytical software used in fraud detection; surveillance equipment (e.g. 35 mm camera, camcorder, mini camera, undercover audio recording devices).
• Ability to: define problems, collect data, establish facts & draw valid conclusions; gather, collate, classify information about data, people or things; prepare meaningful, concise & accurate reports, conduct interview effectively; assess immediate situation & make split second decisions; handle sensitive inquiries from & contacts with officials & general public; safely handle irate &/or dangerous citizens; recognize unusual or threatening conditions & take appropriate action; deal with many variables & determine specific action during investigative process; comprehend & record figures accurately; add, subtract, multiply & divide whole numbers; calculate fractions, decimals & percentages; understand manuals & verbal instructions, technical in nature; use proper research methods in gathering data; work in isolation.

Nice To Haves

• If required to operate state vehicle valid driver’s license.

Responsibilities

• Contacting and interviewing or interrogating subjects of investigations and/or other individuals associated with investigations to obtain statements &/or confessions.
• Preparing concise, accurate & detailed investigative reports to prove or disprove allegations of fraudulent or criminal activity.
• Assessing immediate situations that occur in the field and makes split-second decisions while conducting surveillance of dangerous & potentially violent individuals in hazardous areas to document criminal &/or fraudulent activity or behavior.
• Referring appropriate case findings to Attorney General’s office &/or federal, state or local agencies and testifies at Industrial Commission hearings & in courts of law.
• Manages & prioritizes assigned investigative caseload and works to develop action plans as deemed appropriate to successfully complete assigned cases.

Benefits

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree