Compliance Investigator 4

State of Louisiana • Baton Rouge, LA

20h • Onsite

About The Position

The Compliance Investigator 4 serves as a technical specialist and lead investigator, providing guidance, training, and quality assurance for lower-level personnel, while independently conducting the most complex investigations. The incumbent will apply advance knowledge of workers’ compensation law, fraud detection techniques, and compliance enforcement standards while serving as a liaison with prosecutors, law enforcement and other agencies. The Office of Workers’ Compensation Administration (OWCA) in Louisiana oversees the enforcement and administration of workers’ compensation laws, aiming to support early return-to-work efforts and improve workplace safety. The department manages disputed claims, conducts hearings, reviews medical treatment disputes, and investigates fraud through collaborative efforts like the GAME ON task force.

Requirements

• Six 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 plus 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 A bachelor's degree plus 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 An advanced degree plus two 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.
• 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.

Nice To Haves

• Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subject-matter expertise in diverse and evolving contexts.
• Making Accurate Judgements: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.
• Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well-supported conclusions.

Responsibilities

• Serve as lead investigator on the most complex and high-profile fraud and compliance cases.
• Conduct independent investigations into suspected misconduct by claimants, employers, insurers, attorneys, and, when necessary, agency employees or contractors.
• Draft comprehensive investigative reports and summary reports for regulatory submission and unit tracking.
• Collect and preserve evidence to meet evidentiary standards for criminal or civil prosecution.
• Provide presentations and training to agency personnel, employers, attorneys, and the public on fraud detection and compliance standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior