TDI-Fraud and Enforcement-Investigator II

Please paste the following URL into a browser to view the entire job posting on the CAPPS Careers page.https://erphcmprd.cpa.texas.gov/psp/candidateportal/EMPLOYEE/HRMS/c/HRS\_HRAM\_FL.HRS\_CG\_SEARCH\_FL.GBL?Page=HRS\_APP\_JBPST\_FLandAction=UandFOCUS=ApplicantandSiteId=1andJobOpeningId=106642andPostingSeq=1Agency InformationDo you have a passion for public state service and enjoy making a difference? The Texas Department of Insurance (TDI) is hiring! We regulate the insurance industry, administer the Texas workers' compensation system, perform the duties of the State Fire Marshal's Office, and educate and protect consumers. Apply now if you're looking for a rewarding career in public service. The Texas Department of Insurance is in the Capitol Complex, in the Barbara Jordan Building at 1601 Congress Avenue in Austin, near the Texas Capitol. Benefits of working at TDI:Flexible work schedules.Work-life-balance.96 hours of accrued vacation a year.96 hours of accrued sick leave a year.20+ holidays every year.Career advancement opportunities.Free parking. 401(k) and 457 Programs. State of Texas retirement plan with a lifetime annuity through the Employee Retirement System of Texas (ERS).Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents. Optional benefits like dental, vision, life insurance, and many more.Qualified employer for the Federal Public Service Loan Forgiveness Program. Some benefits for part-time employees are earned proportionately to the hours worked. Before you apply:TDI does not sponsor or assume sponsorship of an employment visa.Learn about our selection process, our military employment preference, licensing, and credential requirements. Job DescriptionInvestigator II (Investigator) Performs moderately complex (journey-level) investigative work for Enforcement. Work involves investigating activities by licensed insurance agents, adjusters, companies, and other authorized persons, and by unlicensed individuals and entities, to determine compliance with Texas insurance laws. Works under general supervision, with limited latitude for the use of initiative and independent judgment.Essential Job DutiesThis position:Conducts investigations of activities by licensed insurance agents, adjusters, companies, and other authorized persons, and by unlicensed individuals and entities to determine compliance with Texas insurance laws.Analyzes complaints; obtains and preserves statements from witnesses and subjects; requests, gathers, and maintains documentary evidence; and, tracks correspondence and performs follow-up.Evaluates, summarizes, and documents investigative findings and prepares written reports of those findings.Organizes and maintains case files; extracts data from case files; maintains documents; and analyzes patterns and trends.Performs other duties as assigned. Minimum QualificationsThis position requires: Graduation from an accredited four-year college or university with a major in a field relative to assignment.Experience. Investigator II one year of experience in regulatory investigations, insurance or fraud investigations, claims adjusting or subrogation, complaints resolution, or a field relative to assignment.Regular work attendance. Travel may be required for up to 5% of the time. If travel is 10% or more, you must maintain a state of Texas Drivers License.Note | substitution language:Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis. Additional job details: This position requires regular work attendance. The ideal candidate must be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours. You must submit a writing sample with your application. Applications submitted without this information will not be considered.This position requires applicant to be eligible to apply for access to the Texas Criminal Justice Information syste . For eligibility, see: https://www.dps.texas.gov/administration/crime\_records/docs/txCJISSysAccPolicy.pdfTDI will conduct a criminal background check on all final candidates. An applicant who has been convicted of, received deferred adjudication for, or has an open arrest for a criminal offense, may be disqualified from employment. Preferred QualificationsPreferences for this position include: Two years of experience in regulatory investigations, insurance or fraud investigations, claims adjusting or subrogation, complaints resolution, or a field relative to assignment.A working knowledge of and experience in insurance, claims adjusting, litigation, administrative law, fraud, and/or a field relative to assignment.Demonstrated experience in agent licensing issues, property and casualty insurance, or life, accident, and health insurance.A Certified Fraud Examiner (CFE) designation from the Association of Certified Fraud Examiners (ACFE), or other similar insurance fraud designation.An insurance designation earned through The Institutes, such as the Chartered Property and Casualty Underwriter (CPCU) or Associate in Claims (AIC) designation.Knowledge/Skills/AbilitiesThis position requires demonstrated knowledge of:State laws, rules, procedures, and regulations relevant to job requirements.Planning and conducting entry-level to complex investigations.Proper techniques for obtaining and using evidence.The Rules of Evidence.Technical aspects of the insurance business.Word processing and use of relational databases and tracking systems.This position requires demonstrated skill in:Problem solving and critical thinking.Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.Using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job.Planning, decision-making and problem-solvi