APPROXIMATE ANNUAL SALARY -
$45,810.72 to
$67,713.84
PAY GRADE: 33
For more information on benefit and retirement programs, please see the sections below.
In order to receive consideration, applicants must indicate their availability for any work type, travel, and location requirements listed.
Compliance/Audit Investigators perform investigative and auditing functions to monitor compliance and detect violations of federal and/or State laws or regulations pertaining to a specific program or regulatory area such as securities, Medicaid, mortgage lending, or workers' compensation. Investigators allocated to this series do not require P.O.S.T. certification.
Incumbents possess a degree of knowledge and proficiency sufficient to perform work independently with little or no additional training.
The Department of Business and Industry, Division of Industrial Relations, Workers' Compensation Section is recruiting for a Compliance Audit Investigator 2 within the Insurer/Third Party Administrator (TPA) Compliance Unit. This position is geographically located in Las Vegas, NV. The incumbent will conduct compliance audits of insurer and third party administrator claim files, conduct complaint investigations, write comprehensive audit reports and determinations, calculate and assess administrative fines pursuant to NRS and NAC 616A through D and 617 and in accordance with Division fining procedures; conduct employer site visits; interview injured workers and employer personnel; testify during administrative and/or criminal hearings when necessary; and provide employer outreach or training, which requires public speaking.
***THIS RECRUITMENT MAY CLOSE AT ANY TIME BASED ON THE AMOUNT OF APPLICATIONS RECEIVED. QUALIFIED APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE.***
In order to be qualified, you must meet the following requirements:
Education and Experience (Minimum Qualifications)
Bachelor's degree from an accredited college or university business or public administration, business management, accounting, or related field and two years of professional experience in an investigative, auditing or professional program-related position which required the application of state and federal laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR graduation from high school or equivalent education and four years of experience, two of which were in a professional investigative, auditing or professional program-related position which required the application of state and/or federal laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR an equivalent combination of education and experience; OR two years of experience as a Compliance/Audit Investigator I in Nevada State service.
Special Notes
The ability to travel at least 25% of the time is required.
Special Requirements
A valid driver's license is required at the time of appointment and as a condition of continuing employment.
Additional Position Criteria
Experience interpreting and analyzing laws and regulations related to Nevada workers' compensation claims is required.
Experience performing calculations and payment of Nevada workers' compensation benefits is required.
The Examination
Application Evaluation Exam
The exam will consist of an application evaluation. It is essential that applications include detailed information with time frames regarding education and experience. The most qualified applicants will be contacted by the hiring agency for interview. The hiring agency may require specific skills related testing as part of the interviewing process.
The following additional questions are part of this Recruitment
