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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 advanced-level work and may provide work direction and training to others.
The incumbent is a Compliance/Audit Investigator III in the Insurer/TPA Compliance Unit and serves as the lead worker for a team of Compliance Audit Investigator I/IIs and an Administrative Assistant III in the Carson City office. Duties include, but are not limited to, contributing to performance evaluation, training, guidance, motivation, support, and the identification of development needs for the team. The unit performs compliance audits of insurer and Third-Party Administrator (TPA) workers' compensation claim files, calculation verification, audit report writing, complaint investigations and determinations, and the assessment of administrative fines pursuant to NRS and NAC 616 A through D and 617. Other duties include coordination with the Chief Compliance/Audit Investigator for the development of a risk-based annual audit plan, management of day-to-day processes, and improvement of audit practices in accordance with Generally Accepted Government Auditing Standards and Division procedures. Additional duties may include site visits, conducting interviews with injured workers, insurers, TPAs, and/or employers, testifying during administrative and/or criminal hearings, and participating in outreach or training requiring public speaking.
The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages. *** THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***
In order to be qualified, you must meet the following requirements:
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Bachelor's degree from an accredited college or university in business or public administration, business management, accounting, or related field and three years of professional experience in an investigative, auditing or program-related position which required the application of federal and/or State 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 five years of experience, three of which were in a professional investigative, auditing or professional program-related position which required the application of federal and/or State 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 one year of experience as a Compliance/Audit Investigator II in Nevada State service; OR an equivalent combination of education and experience as described above. |
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A valid driver's license is required at the time of appointment and as a condition of continuing employment. |
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| 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. |
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1) Please describe your audit experience, including audit planning, compliance reviews, recommendations, and report preparation.
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2) Please describe your experience as a lead worker, including assessing the work performance of employees, identifying development opportunities, and training, coaching, and motivating teams.
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3) Please describe your working knowledge of Generally Accepted Government Auditing Standards (GAGAS).
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4) Please describe your experience working in/with a workers' compensation system.
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