Compliance Officer

State of North Carolina

1d • Hybrid

About The Position

The mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department. In an ever-changing environment, it is the vision of the Department of Insurance to maintain the stabilization of the insurance industry in order to provide more products, competitive prices and consumer protection.
Salary Recruitment Range: $43,267 - $43,267
Salary Grade: NC10
The posting will close at 11:59 p.m. the night before the closing date. This posting is for two vacant positions: 65019682, and 60080699. This position currently qualifies for a hybrid telework option with routine office and remote workday. The NC Department of Insurance trusts our employees to be self-motivated and successful in hybrid/remote roles. Telework options are subject to change at the discretion of management.
Mission of the Industrial Commission: The North Carolina Industrial Commission is vested as a court of exclusive and original jurisdiction by the General Assembly to adjudicate and administer the North Carolina Workers' Compensation Act. The Industrial Commission processes over 65,000 workers' compensation injury reports and claims filed annually under the Act. This responsibility includes overseeing and providing for the trial of contested cases as well as administering non-contested cases. Workers who are injured by accident on the job or who contract an occupational disease receive disability and medical benefits as ordered by the Industrial Commission. The Industrial Commission is also a court of original jurisdiction for litigating tort claims against the State under the North Carolina State Tort Claims Act. Additionally, the General Assembly has mandated the Industrial Commission to provide an adjudicated process for Childhood Vaccine-Related Injury claims, Compensation to Persons Erroneously Convicted of Felonies, and Eugenics claims. It acts as a court of exclusive and final jurisdiction for death claims made by families of law enforcement officers, fire fighters, rescue squad workers and civil air patrol members arising under the Public Safety Employees' Death Benefits Act. Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements, and supervision of payment of benefits. For more information regarding the NC Industrial Commission visit: https://www.ic.nc.gov/
Primary Purpose of the Organizational Unit: The Compliance Section of the North Carolina Industrial Commission works with businesses operating in North Carolina to ensure compliance with the insurance requirements of the Workers' Compensation Act and to enforce the rules of the North Carolina Industrial Commission. The Compliance Section handles civil cases involving employers who are operating as non-insured employers in violation of N.C. Gen. Stat. § 97-93 and N.C. Gen. Stat. § 97-94. An employer is considered non-insured if the employer has the requisite number of employees pursuant to N.C. Gen. Stat. § 97-2 and does not carry workers’ compensation insurance or does not obtain certification from the Commissioner of Insurance as a self-insured employer. The Compliance Section investigates referrals to determine whether an employer is compliant with the Workers’ Compensation Act. If the investigation establishes the employer is subject to the Workers’ Compensation Act, an administrative penalty can be assessed for a period that the employer was not insured and was subject to the Act. The Compliance Section also assists the North Carolina Department of Justice with the enforcement and collection of penalty assessments and facilitates adjudication of contested penalty cases and settlements.
Primary Purpose of the Position: The Compliance Officer is responsible for investigating the insurance coverage status of employers in North Carolina to ensure compliance with Chapter 97 and other applicable insurance requirements. The Compliance Officer reviews data analytics from various State information systems and identifies potentially non-compliant employers. Additional information is then requested from the identified employers and other State agencies to determine the employers’ insurance status. Recommendations are made for civil penalty assessments against noncompliant employers in accordance with the provisions of Chapter 97. Professional level work is required to review the insurance coverage status of identified employers to determine if the employer is subject to and in compliance with Chapter 97. The Compliance Officer evaluates policy forms, addenda, payroll records, corporate filings, and related factors to determine compliance with statutory provisions. The Compliance Officer applies insurance law, department regulations and appropriate procedures to ensure compliance with Chapter 97. Work is reviewed and evaluated by a supervisor through meetings, reports, and a detailed review of completed work assignments.

Requirements

• Bachelor’s degree from an appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience.

Nice To Haves

• A minimum of two years of significant compliance or investigation experience working independently.
• Demonstrated experience applying provisions of a statute, rule, or policy to a situation.
• Demonstrated experience reviewing and analyzing information from different information sources to address issues and determine the sufficiency of the information.
• Demonstrated computer skills and considerable experience using common Microsoft Office suite programs, including Microsoft Word, Microsoft Excel, and Microsoft Outlook.

Responsibilities

• The Compliance Officer is responsible for investigating the insurance coverage status of employers in North Carolina to ensure compliance with Chapter 97 and other applicable insurance requirements.
• The Compliance Officer reviews data analytics from various State information systems and identifies potentially non-compliant employers.
• Additional information is then requested from the identified employers and other State agencies to determine the employers’ insurance status.
• Recommendations are made for civil penalty assessments against noncompliant employers in accordance with the provisions of Chapter 97.
• The Compliance Officer evaluates policy forms, addenda, payroll records, corporate filings, and related factors to determine compliance with statutory provisions.
• The Compliance Officer applies insurance law, department regulations and appropriate procedures to ensure compliance with Chapter 97.

Benefits

• 12 Annual paid Holidays
• North Carolina State Health Plan administered by AETNA
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts

What This Job Offers

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