BWC Special Investigations Manager - PN: 20066661 at Ohio Department of Administrative Services

, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Feb, 26

Salary

0.0

Posted On

06 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Investigation, Fraud Prevention, Policy Development, Training, Supervisory Skills, Analytical Skills, Communication, Problem Solving, Case Management, Public Relations, Employee Development, Management Principles, Investigative Techniques, Compliance, Data Collection, Report Writing

Industry

Government Administration

Description

BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. This position's HQ county will be out of the closest service office to the selected candidate. What Our Employees Have to Say: BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include: BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work. I have worked at several state agencies and BWC is the best place to work. Best place to work in the state and with a sense of family and support. I love the work culture, helpfulness, and acceptance I've been embraced with at BWC. I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC. If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application! What You’ll Be Doing Directs and manages multiple regional Special Investigations Units (SIUs) and the Statewide Healthcare Provider Team. Develops and recommends policies and legislative changes to enhance fraud prevention and investigation efforts. Oversees the administration of fraud detection and investigation programs targeting internal and external actors (e.g., employees, providers, employers, injured workers). Ensures adherence to federal, state, and local laws in all investigative activities. Directs the development and delivery of training programs for investigative staff. Promotes the use of modern investigative techniques and technologies. Reviews complex and high-profile fraud cases for accuracy, completeness, and procedural compliance. Provides guidance on investigative techniques and ensures consistency in case handling. 5 yrs. investigative trg. or exp. with experience corresponding to insurance fraud; 3 yrs. trg. or 3 yrs. exp. in supervisory or managerial position associated with criminal investigation or insurance claims or insurance fraud department; valid Ohio driver’s license. -Or 6 yrs. investigative trg. or exp. where experience does not correspond to insurance fraud; 3 yrs. trg. or 3 yrs. exp. in supervisory principles/ techniques; valid Ohio driver’s license. -Or equivalent of Minimum Class Qualifications For Employment noted above. Job Skills: Investigation Major Worker Characteristics: Knowledge of: WC laws*, policies & procedures; eligibility criteria & procedures used for processing WC claims*; English grammar; oral & written business communication; investigative practices & techniques; case preparation; rules of evidence; public relations; employee training & development; management principles/techniques*; Fraud Division investigation policies, procedures & techniques”; labor relations. Skill in: use of PC; operation of motor vehicle; interviewing. Ability to: define problems, collect data, establish facts & draw complex conclusions; read & understand medical reference manuals; write meaningful, accurate & concise reports, gather, collate & classify information about data, people or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers, public officials, law enforcement & other agencies; establish friendly atmosphere as supervisor of department. (*) Developed after employment. This position is overtime exempt, & is unclassified pursuant to ORC 124.11(A)(9). Valid driver’s license required per approved class specification. Position requires travel therefore persons occupying this position must provide their own transportation &/or legally operate a state owned vehicle. May be exposed to physical harm. The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment. The final applicant for this position must submit to & pass an extensive background check by the Ohio State Patrol prior to appointment. Position may involve overnight travel. Position may involve flexible schedule including nights, early morning, weekends &/or holiday hours.

Responsibilities

The BWC Special Investigations Manager directs and manages multiple regional Special Investigations Units and the Statewide Healthcare Provider Team. They develop policies to enhance fraud prevention and oversee fraud detection programs targeting various actors.