Compliance Officer III

Commonwealth of Massachusetts•Boston, MA

10d

About The Position

The Department of Unemployment Assistance (DUA) administers Massachusetts’s Unemployment Insurance (UI) program, which provides temporary income assistance to eligible workers who are unemployed through no fault of their own and are able, available, and looking for work. Under the direction of the Benefit Accuracy Measurement (BAM) Supervisor or designated manager, the Benefit Accuracy Measurement Investigator conducts federally mandated quality assurance investigations under the United States Department of Labor BAM Program, following ET Handbooks No. 395 and No. 396 and 20 CFR Part 602. The investigator independently and objectively reviews randomly selected paid and denied UI claims to assess the accuracy of benefit payments and non-monetary determinations. The work includes examining claim data and transactions, verifying information from claimants, employers, and other interested persons through original fact-finding, and identifying errors. Investigative findings are documented in case files containing supporting materials and written summaries, and through completion of the federal Benefit Accuracy Measurement Data Collection Instrument. Work must meet the quality and timeliness standards established in the federal ET Handbooks. The role requires extensive knowledge of unemployment insurance law, investigative techniques, federal performance requirements, confidentiality standards, and quality control methodologies.

Requirements

At least four years of full-time, or equivalent part-time, experience in investigatory or law enforcement work, or regulatory administration work, or an equivalent combination of required experience and permitted substitutions.
A bachelor's or higher degree may substitute for a maximum of two years of required experience; education toward such a degree is prorated based on the proportion of requirements completed.
Extensive knowledge of unemployment insurance law, investigative techniques, federal performance requirements, confidentiality standards, and quality control methodologies.

Nice To Haves

Extensive experience applying M.G.L. Chapter 151A and the laws, rules, regulations, policies, procedures, standards, and guidelines governing DET programs and operations.
Experience applying investigative techniques, procedures, and documentation requirements.
Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), or Special Police Officer certification or designation.

Responsibilities

Conduct federally mandated quality assurance investigations under the USDOL Benefit Accuracy Measurement Program in accordance with ET Handbooks No. 395 and No. 396 and 20 CFR Part 602.
Independently investigate randomly selected paid and denied unemployment insurance claims to determine the accuracy of benefit payments and non-monetary determinations.
Examine claim data and transactions, including eligibility determinations.
Verify claimant, employer, and other interested persons’ information through new and original fact-finding to detect errors.
Develop investigatory case files containing supporting documentation and written summaries.
Complete the federal Benefit Accuracy Measurement Data Collection Instrument.
Meet federal quality and timeliness standards established in the applicable ET Handbooks.