TDI-Investigator V (Fraud Investigator)

Do you have a passion for public state service and enjoy making a difference? Don’t miss out on this opportunity. The Texas Department of Insurance, Division of Workers’ Compensation (DWC) is hiring! DWC administers and operates the Texas workers’ compensation system. DWC regulates the workers’ compensation system, settles disputes, provides customer service, promotes workplace safety, and ensures compliance with state laws. DWC has 20 offices across the state of Texas, with the headquarters located 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 (state pays the other 50%).
• Optional benefits like dental, vision, life insurance, and many more.
• Qualified employer for the Federal Public Service Loan Forgiveness Program.

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.

Investigator V (Fraud Investigator)
This position performs advanced (senior-level) investigative work involving planning, organizing, and conducting investigations. Investigates fraudulent insurance acts committed by health care providers, attorneys, claimants, and employers within the state of Texas's workers’ compensation system. Prepares criminal case investigative reports for prosecutors. Performs moderately complex analyses of factual and legal situations and documents findings. Acts as liaison with external entities, such as Special Investigative Units (SIUs) of insurance companies and with state and federal law enforcement and other governmental agencies. May frequently plan and organize investigative activities and may develop and provide training on investigative techniques, policies, and procedures for conducting investigations. May supervise the work of others. Works under minimal supervision with considerable latitude for the use of initiative and independent judgment.

This position:
• Conducts workers’ compensation fraud and criminal investigations.
• Interviews witnesses and suspects and takes oral and written statements.
• Reviews complex financial and business records, forms, reports, and other documents to extract evidence and prepare investigative reports.
• Documents investigative activity using a case management system; organizes and maintains case files and evidence.
• Coordinates criminal investigations and maintains contact with various state or federal law enforcement organizations related to insurance fraud matters;
• May frequently plan and organize investigative activities and may develop and provide training on investigative techniques, policies, and procedures for conducting investigations;
• Provides testimony and technical support with judicial proceedings by reviewing legal aspects of investigations and recommending action as appropriate;
• Prepares summary reports for the chain of command; and
• Performs other duties as assigned.