workers` compensation investigator

advertisement
DEPARTMENT OF MANAGEMENT SERVICES
For Reference Only
CLASS CODE: 3319
PAY GRADE: 020
CLASS TITLE: WORKERS' COMPENSATION INVESTIGATOR
ALLOCATION FACTOR(S)
This is professional work conducting workers' compensation investigations of alleged violations of
Chapter 440, Florida Statutes.
EXAMPLES OF WORK PERFORMED:
(Note: The examples of work as listed in this class specification are not necessarily descriptive of any
one position in the class. The omission of specific statements does not preclude management from
assigning specific duties not listed herein if such duties are a logical assignment to the position.
Examples of work performed are not to be used for allocation purposes.)














Conducts investigations of violations of the workers' compensation law, including illegal failure
to provide workers' compensation insurance as required, fraud, violations of stop work orders
and insurance premium evasion.
Interviews and secures statements from employers, employees, witnesses, and other parties.
Collects and evaluates documents and evidence obtained from records of the principals
involved.
Conducts surveillance and undercover activities for cases under investigation.
Reviews evidence obtained to determine accuracy and validity of its content.
Notifies and consults with appropriate law enforcement agencies on cases of mutual interest or
when violations outside the scope of workers' compensation laws are discovered.
Maintains liaisons and performs joint investigations with federal, state and local law
enforcement agencies.
Prepares detailed reports of progress and results of investigations.
Prepares detailed affidavits and documents for stop work orders, injunctions and subpoena
requests.
Prepares final reports on investigations setting forth information and evidence obtained for
referral to legal counsel for prosecution.
Serves stop work orders, citations, penalty and assessment orders.
Receives and investigates complex complaints from various sources.
Testifies as a state witness in court and provides testimony when necessary.
Provides continuing advice and information after the completion and disposition of any
investigation.
3319-WORKERS' COMPENSATION INVESTIGATOR-CS



Calculates workers' compensation insurance premiums for employers using standard insurance
underwriting principals and practices to determine penalty assessments based on evaded
premiums while illegally uninsured.
Provides investigation assistance upon referral from the Governor's office, Secretary's office,
governmental agencies, congressional members, Florida legislators and others.
Provides interpretation of the workers' compensation law, rules and procedures. Advises the
general public of their rights, responsibilities and obligations under the law.
KNOWLEDGE, SKILLS AND ABILITIES:
(Note: The knowledge, skills and abilities (KSA's) identified in this class specification represent those
needed to perform the duties of this class. Additional knowledge, skills and abilities may be applicable
for individual positions in the employing agency.)




















Knowledge of basic investigative techniques.
Knowledge of the rules of evidence.
Knowledge of court procedures and requirements.
Knowledge of insurance underwriting and auditing.
Knowledge of basic principals of accounting.
Knowledge of the workers' compensation laws.
Ability to conduct fact-finding interviews and take statements.
Ability to collect and analyze evidence.
Ability to use deductive reasoning.
Ability to plan, organize and coordinate work assignments.
Ability to analyze information and determine its validity.
Ability to conduct surveillance and undercover activities.
Ability to write accurate investigative reports and other documents.
Ability to present detailed verbal presentations.
Ability to make independent decisions.
Ability to conduct thorough investigations.
Ability to maintain strict confidentiality.
Ability to communicate effectively.
Ability to establish and maintain effective working relationships with others.
Ability to function effectively in and diffuse hostile situations.
MINIMUM QUALIFICATIONS





A bachelor's degree from an accredited college or university and two years of experience in
conducting investigations; or
A bachelor's degree from an accredited college or university and two years of professional
experience in auditing, accounting, tax examining or financial examining; or
Two years of professional experience in a workers' compensation program.
A master's degree from an accredited college or university in business or criminology can
substitute for one year of the required experience.
Professional or nonprofessional experience as described above can substitute on a year-foryear basis for the required college education.
EFFECTIVE:
6/24/1994
HISTORY:
Download