INVESTIGATOR WORKERS COMPENSATION (FRAUD PREVENTION UNIT)

State of careers Rhode Island

3d

About The Position

GENERAL STATEMENT OF DUTIES: Conducts investigations into allegations of fraudulent workers’ compensation transactions; receives, screens, evaluates, and investigates complaints of alleged frau and abuse; ascertain facts, obtains evidence, and prepares reports of findings; prepares cases for court presentation; appears in court to provide testimony; prepares/presents training and fraud prevention material to the public, businesses, insurance companies, and other interested groups; develops contacts/ liaison with other agencies and serves as lead investigator when so assigned; and to do related work as required.

SUPERVISION RECEIVED: The Investigator works under the administrative direction of the Chief Investigator of the Workers’ Compensation Fraud Prevention Unit. Work is reviewed through regular and ongoing consultation and review of reports for conformance to law, policies, rules, regulations, and organizational goals and objectives.

SUPERVISION EXERCISED: Generally none.

Requirements

• A working knowledge and application of the workers’ compensation law.
• The ability to conduct and investigation from beginning to end, which includes gathering evidence, interviewing witnesses, and putting together a case into a logical, understandable presentation; to prepare clear and concise reports; to establish and maintain effective working relationships, internally and externally; to prepare and present workers’ compensation fraud prevention material to interested group; and related capacities and abilities.
• Education: Such as may have been gained through: graduation from a college of recognized standing, with specialization in criminal justice, law enforcement, business administration, or closely related field
• Experience: Such as may have been gained through: extensive employment in investigating work which involved interviewing persons, gathering evidence, and writing reports
• Or, any combination of education and experience that shall be substantially equivalent to the above education and experience.
• Must possess and continually thereafter hold a valid R.I. motor vehicle operator’s license.
• Must at the time of application, and continually thereafter, be free from any and all felony convictions.

Responsibilities

• To conduct investigations into alleged violations of the Workers’ Compensation Act.
• To conduct regulatory compliance reviews related to workers’ compensation law provisions.
• To receive, screen, evaluate and investigate complaints of fraud and abuse.
• To ascertain facts, obtain evidence interview witnesses, and prepare reports of findings.
• To prepare cases for court presentation and to give testimony.
• To develop a working knowledge of the Workers’ Compensation Act.
• To prepare/ present training and fraud prevention material to interested groups.
• To develop contacts/liaison with other agencies.
• To serve as lead investigator when so assigned.
• To do related work as required.

Benefits

• For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/.
• Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees. Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit. Accordingly, any employee hired after this date will be required to participate in the direct deposit system. At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.

What This Job Offers

• Job Type: Full-time