Investigative Specialist

Agency Dept of Insurance Division Industrial Commission Job Classification Title Program Coordinator II (NS) Position Number 65020585 Grade NC10 About Us 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. Description of Work *THE PREVIOUS POSTING INACCURATELY DETAILED THE MINIMUM QUALIFICATIONS - THE ACTUAL QUALIFICATIONS ARE AS FOLLOWS * Bachelor's degree from appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience. PREVIOUS APPLICANTS WHO MEET MINIMUM QUALIFICQATIONS ARE STILL UNDER CONSIDERATION About Us 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. Mission Statement of the Industrial Commission The North Carolina Industrial Commission is vested by the General Assembly with exclusive and original jurisdiction 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 that the Industrial Commission provide an adjudicatory process for claims filed under the Childhood Vaccine-Related Injury Program and claims filed under the Compensation to Persons Erroneously Convicted of Felonies Act. It acts as a court of exclusive and final jurisdiction for death claims arising under the Public Safety Employees' Death Benefits Act made by dependents of law enforcement officers, firefighters, rescue squad workers, and civil air patrol members. Each of these adjudicatory systems requires the administration of contested and uncontested claims, the review of agreements, and the supervision of the payment of benefits. For more information regarding the NC Industrial Commission visit: https://www.ic.nc.gov/ Description of Work Investigative Specialist (65020585) Salary Recruitment Range $43,267 -$55,000 Salary Grade: NC 10 This position currently qualifies for a hybrid telework option with routine office and remote workdays. The posting will close at 11:59 p.m. the night before the closing date. Primary Purpose of the Organizational Unit The Criminal Investigations Section of the North Carolina Industrial Commission operates as a law enforcement agency and is responsible for conducting criminal investigations into cases of suspected workers’ compensation fraud, employee misclassification, and violations related to workers’ compensation claims involving employees, employers, insurers, health care providers, attorneys, and vocational rehabilitation providers. Criminal Investigators investigate all criminal complaints filed with the Industrial Commission regarding failure of employers to maintain workers’ compensation insurance (N.C. Gen. Stat. § 97-94(d), fraud on the part of employees with regard to the collection or obtaining of workers’ compensation benefits (N.C. Gen. Stat. § 97-88.2), fraud on the part of employers with regard to payment or collection of workers’ compensation premiums from employees’ salaries (N.C. Gen. Stat. § 97-21), medical payment fraud (N.C. Gen. Stat. § 97-88.3), and any other claims arising out of violations of Chapter 97 by employees or employers. The Criminal Investigations Section works with judicial officials and other law enforcement agencies throughout the State to resolve the above investigations in criminal court. The Criminal Investigations Section collaborates with the Industrial Commission’s Employee Classification Section to proactively identify and investigate employee misclassification, thus helping ensure compliance with the North Carolina Employee Fair Classification Act and North Carolina Workers’ Compensation Act. Primary Purpose of the Position The primary purpose of the Investigative Specialist is to provide comprehensive administrative support to the Industrial Commission’s Investigators and the Division Chief. The Investigative Specialist is the primary point of contact for the Division, documenting formal complaints received via U.S. Mail, phone, or email and synthesizing pertinent documents and other information received from complainants, other State agencies, attorneys, insurance providers, and other Industrial Commission section