Compliance Investigator 1/2/3

State of Louisiana • Baton Rouge, LA

2d • Onsite

About The Position

The Compliance Investigator 1/2/3 will conduct independent investigations of suspected workers’ compensation fraud and violations of state and federal laws, agency policies, and regulations. The position analyzes claims, payroll records, public records, and electronic databases to identify irregularities, determine involvement, and develop cases. Responsibilities include gathering and preserving evidence, documenting findings, preparing cases for prosecutorial referral, and maintaining confidential investigative records in accordance with applicable statutes. 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

• 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 Six years of full-time work experience in any field; OR A bachelor's degree.
• 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

• Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
• Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
• Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well-supported conclusions.

Responsibilities

• Monitor timeliness of responses and makes recommendation to supervisor for appropriate penalty assessment based upon research conducted to determine total number of employees and length of time employer has been determined non-compliant utilizing internal and external data sources.
• Analyze evidence and determine if further criminal or civil action is needed.
• Responsible for contacting employers in Louisiana to determine compliance with workers' compensation laws.
• Draft comprehensive investigative reports, for regulatory submission, to document findings and present information to senior management.
• Review Electronic Data Processing (EDP) generated cross-match cases and determine whether further investigation is warranted.
• Issue subpoenas duces tecum when requests for information are ignored.

What This Job Offers

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