Workers' Compensation Compliance Investigator

State of Pennsylvania
Harrisburg, Pennsylvania
Full Time

Email Address

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THE POSITION

Are you interested in playing a key role in protecting the rights of workers across Pennsylvania? The Department of Labor & Industry is searching for a Workers' Compensation Compliance Investigator to join the Bureau of Workers Compensation Directors Office. This role allows you to use investigative skills while guiding the public through their responsibilities under the law. Your work will support fair outcomes, reduce disputes, and strengthen trust in the workers compensation system. Apply now to make a real difference for workers and businesses throughout the Commonwealth!

DESCRIPTION OF WORK

As a Workers' Compensation Compliance Investigator, you will be supporting statewide efforts to ensure that employers, insurers, and medical providers follow the Pennsylvania Workers Compensation Act. This role uses investigative work, communication skills, and legal knowledge to help resolve concerns and promote compliance. You will also testify as a witness for the Commonwealth in the prosecution of noncompliant employers in formal judicial proceedings. As a Workers Compensation Compliance Investigator, you will perform the following duties:

Complaint Investigation: Investigate reports of noncompliance with the Workers Compensation Act and related regulations
Employer Education: Inform the public and employers about their responsibilities through clear verbal and written communication
Case Development: Gather records, interview workers, and prepare case summaries for possible prosecution under Section 305
On Site Reviews: Conduct evaluations of employer worksites to determine compliance and guide them in understanding legal requirements
Fraud Review: Examine allegations of workers compensation fraud and provide findings to appropriate insurance carriers
Exemption Processing: Review and process applications for exemption under religious or executive officer provisions and maintain accurate records

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

Full-time employment
Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
Telework: You may have the opportunity to work from home (telework) part-time. You will be required to report in-office 2 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
Salary: In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

Four years of clerical work in the review, research, and presentation of records, correspondence, and documents, including two years of public contact experience; or
An equivalent combination of experience and training that includes two years of public contact experience.

Other Requirements:

This particular position also requires possession of a valid driver's license.
You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
You must be able to perform essential job functions.

How to Apply:

Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

Pennsylvania law (51 Pa. C.S. 7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
Your score is valid for this specific posting only.
You must provide complete and accurate information or:
your score may be lower than deserved.
you may be disqualified.
You may only apply/test once for this posting.
Your results will be provided via email.

Learn more about our Total Rewards by watching this short video!

See the total value of your benefits package by exploring our benefits calculator.

Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

Compensation & Financial Planning

We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance

We know there's more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture

We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks

Sometimes, it is the little "extras" that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.

Eligibility rules apply.

Additional Requirement - Do you possess a current driver's license which is not under suspension?

If you answered yes, please provide your driver's license number and expiration date. If you answered no, type N/A in the text box below.

How many years of full-time clerical work experience in the review, research and presentation of records, correspondence, and documents do you possess?

4 years or more
3 but less than 4 years
2 but less than 3 years
1 but less than 2 years
Less than 1 year
None

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

Do you possess two or more years of full-time public contact experience?

How much college coursework have you completed? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting www.naces.org and clicking the Evaluation Services Link.

You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

120 credits or more
90 but less than 120 credits
60 but less than 90 credits
30 but less than 60 credits
Less than 30 credits
None

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental questions. Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to our FAQ page.

WORK BEHAVIOR 1 - INTERVIEW AND GATHER INFORMATION

Interview workers and gather information/evidence from agencies and individuals during investigations of alleged uninsured employers and compliance complaints regarding employers, insurers, or medical providers.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have experience independently interviewing individuals and gathering information/evidence from agencies/individuals during an investigation or in response to a compliance complaint.
B. I have experience assisting others with interviewing individuals and gathering information/evidence during an investigation or in response to a complaint.
C. I have experience conducting interviews or completing research to provide information.
D. I have successfully completed college-level coursework related to interviewing techniques or research methodology.
E. I have no experience or training related to this work behavior.

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

The name(s) of the employer(s) where you gained this experience 2. Your experience interviewing and gathering information 3. Your specific duties and level of responsibility

If you have selected the level of performance pertaining to the college coursework, please provide the requested information in the text box below. Please be sure your response addresses the three items listed below. If you indicated you have no training related to this work behavior, type N/A in the box below.

College/University 2. Course Title 3. Credits/Clock Hours

WORK BEHAVIOR 2 - MAINTAIN CASE FILES AND DATA ENTRY

Maintain case files regarding violations of the Workers' Compensation (WC) Act, regulations, or workers' compensation judge decisions. Input investigation and case file information into the Workers' Compensation Automation and Integration System, ensuring all information is updated and accurate.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have experience maintaining case files regarding violations of acts or regulations, and judges' decisions, ensuring required information and documentation is present and complete; and inputting the investigation or case file information into an electronic system.
B. I have experience inputting investigation or case file information into an electronic system.
C. I have experience inputting data/information into an electronic system.
D. I have successfully completed college-level coursework related to data analysis or entry, or case management.
E. I have no experience or training related to this work behavior.

The name(s) of the employer(s) where you gained this experience 2. Your experience maintaining case files 3. Your experience inputting data in an electronic system 4. Your specific duties and level of responsibility

College/University 2. Course Title 3. Credits/Clock Hours

WORK BEHAVIOR 3 - WRITTEN DOCUMENTATION

Prepare referral memos for a manager's review by summarizing findings, potential criminal charges, evidence, and conclusions regarding an investigation case.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have experience preparing written documents to summarize information regarding a case. I had the final responsibility for the completed product.
B. I have experience drafting written documents to summarize information regarding a case. Someone else had the final responsibility for the completed product.
C. I have experience preparing written documents to summarize information.
D. have successfully completed college-level coursework related to technical writing, business writing, or report writing.
E. I have no experience or training related to this work behavior.

The name(s) of the employer(s) where you gained this experience 2. The type of documents you prepared or drafted 3. Your specific duties and level of responsibility

College/University 2. Course Title 3. Credits/Clock Hours

WORK BEHAVIOR 4 - PROVIDE TECHNICAL ASSISTANCE

Provide technical assistance in response to inquiries or problems encountered by employees/employers, insurance carriers/agents, attorneys, doctors, or legislators to resolve disputes/problems between parties and provide advice on rules and regulations.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

A. I have experience providing technical assistance in response to inquiries or problems encountered by others to help resolve disputes/problems between parties, and I provided advice on rules and regulations.
B. I have experience responding to basic inquiries or problems encountered by others. Someone else responded to more technical issues, helped to resolve disputes, or provided advice on rules or regulations.
C. I have successfully completed college-level coursework related to oral communications, public speaking, or speech communications.
D. I have no experience or training related to this work behavior.

The name(s) of the employer(s) where you gained this experience 2. Your experience providing technical assistance, resolving disputes, or advising on rules/regulations 3. Your specific duties and level of responsibility