Compliance/Audit Investigator 2

State of Nevada•Las Vegas, NV

2d•Onsite

About The Position

The Department of Business and Industry is recruiting to fill a Compliance/Audit Investigator 2 position within the Workers' Compensation Section of the Division of Industrial Relations (DIR) in Las Vegas. This benefit penalty position investigates complaints which include benefit penalty requests and non-compliance with Hearing and Appeals Officer's Decision and Orders. The investigator calculates workers' compensation benefits, fines, penalties, and interest; assesses employer, TPA, and insurer fines pursuant to relevant statutes and regulations; and drafts comprehensive determinations, appropriately documenting and substantiating the agency's position for review by the Compliance/Audit Investigator 3. Benefit penalties are highly litigious, so they work closely with the DIR Legal Section as well as assist legal counsel at appeals hearings, pre-trial preparations, and testimony. Frequent typing, repetitive organization and review of documents with occasional lifting of files are required. Must maintain positive public image, discretion, professionalism, and courtesy at all times with the public and internal and external stakeholders and must exhibit maturity and flexibility when dealing with difficult people and complex situations.

Requirements

Bachelor's degree from an accredited college or university business or public administration, business management, accounting, or related field and two years of professional experience in an investigative, auditing or professional program-related position which required the application of federal and State 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 four years of experience, two of which were in a professional investigative, auditing or professional program-related position which required the application of federal and/or State 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 two years of experience as a Compliance/Audit Investigator I in Nevada State service
OR an equivalent combination of education and experience as described above.
Working knowledge of: general accounting procedures and rules; business practices and procedures; investigative principles and practices; office procedures, methods and equipment.
Ability to: analyze statutes, rules, and regulations and apply to investigative or audit findings; make oral group presentations to provide information and explain procedures, policies, and laws pertaining to the program area; read and interpret contracts and legal documents in relation to the program area; review and analyze information received from business, complainant and governmental agencies; conduct interviews both in person and by phone to ascertain factual information; mediate and negotiate resolution between contending parties.

Nice To Haves

Frequent typing, repetitive organization and review of documents with occasional lifting of files are required.
Must maintain positive public image, discretion, professionalism, and courtesy at all times with the public and internal and external stakeholders and must exhibit maturity and flexibility when dealing with difficult people and complex situations.

Responsibilities

Receive and review formal complaints; make determinations regarding possible program violations and jurisdiction within the specified program area; gather and analyze background information and facts pertaining to the complaint; make determinations regarding the extent of violations, and recommendations to initiate a formal investigation.
Conduct interviews with complainant, witnesses, employers, State and local government agencies and other sources to obtain information regarding violations or noncompliance and develop leads and facts pertaining to the case to prove a violation or criminal intent exists.
Prepare required forms and notices; deliver to appropriate party regarding complaint and/or alleged violations following department policy and procedure; respond, review and discuss with complainant and respondent.
Develop case files and maintain case logs and reports; place evidence in case file along with chronological documentation regarding investigative steps taken and all contact made with complainant, respondent, witnesses and other sources; preserve and utilize evidence to develop final case reports and/or for future litigation.
Gather and review evidence such as business and financial records, service contracts, professional reports, bank statements, billing documents, sales transactions, client account records, personnel files and historical data pertaining to the suspected violation to develop trends, patterns and to support complaint; serve subpoenas or other legal documents as required.
Conduct audits on a periodic basis by either randomly selecting individual firms or business or as required by State law and reviewing business transactions for completeness, accuracy, and compliance with federal and/or State laws and regulations; evaluate internal procedures, operating methods, fiscal controls, and verify validity of financial statements and records; explain provisions and application of federal and/or State guidelines and discuss assessments, audit findings and recommendations.
Prepare required forms and notices and send to appropriate parties regarding complaint and alleged violations; review and discuss responses with supervisor and/or Attorney General.
Conduct research regarding program rules, court decisions, industry practices and standards, procedures and techniques to ensure compliance, and to develop or revise program regulations or policies; plan and coordinate investigations and audits to determine whether administrative and/or criminal action should be taken.
Prepare investigative and audit reports encompassing results of examination of accounting records, known violations, statement of facts, case summary, and exhibits of evidence, statements obtained from witnesses, conclusions and recommendations; review and submit reports for hearing or prosecution, and to impose fines and penalties; appear before the governing body or in a court of law to provide testimony as required.
Perform related duties as assigned.