Industrial Commission Investigator

US Government, Dept of Insurance

This is a Repost.  All Applicants will need to reapply.

Recruitment Salary Range: $45,725 – $63,176
Salary Grade: SW05


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 accidents 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 trying 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 Death Benefits Act.  Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements and supervision of payment of benefits.

 

Primary Purpose of the Unit:


Criminal Investigations 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. Criminal Investigations works with judicial officials and other law enforcement agencies throughout the state to resolve the above investigations in criminal court.


Criminal Investigations collaborates with the Employee Classification Section to proactively identify and investigate employee misclassification, thus helping ensure compliance with the Employee Fair Classification Act and applicable workers’ compensation statutes. 

 

Primary Purpose of the Position


The primary purpose of the Special Agent is to perform duties as a law enforcement officer working in the Criminal Investigations and Employee Classification Division. The Special Agent works in accordance with Chapter 97 of the Workers’ Compensation Act. The Special Agent will identify, collect, analyze, and preserve evidence of workers’ compensation crimes employing law enforcement skills, with a focus to deter and detect violations. Work involves responding to and investigating complaints or calls, detecting violations, collection and preservation of evidence, testimony in court proceedings as necessary, and performing related work. During the course of an investigation, the Special Agent may examine or assist with the examination of various insurance documents and records, as well as non-insurance documents and records. These documents may be in written and/or electronic form. Additionally, the Special Agent may interview and interrogate related subjects identified during the course of the investigation. It is essential that the Special Agent maintain a current working knowledge of criminal statutes, the laws of arrest, search and seizure, and all procedural legislative acts that directly apply to conducting criminal investigations.

 

This position will have jurisdiction within the State of North Carolina and will primarily investigate cases in the Western Piedmont region that covers from Ashe County to Union County.


Incentives of NC State Employment:
  

We value our employees and offer a wide variety of competitive and family-friendly benefits. Benefits to include:
   

  • 12 Annual paid Holidays 

  • North Carolina State Health Plan administered by Blue Cross Blue Shield of NC 

  • Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision 

  • NC State Retirement (TSERS)

  • WeSave Employee Discounts

    Learn more about new hire resources, safety, health and wellness information, leave options, employee discounts and more by selecting the link below:
     
    https://oshr.nc.gov/state-employee-resources/benefits.

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