North Carolina Department of Health and Human Services
Receive alerts when this company posts new jobs.
Program Coordinator II/ Compliance Officer
at North Carolina Department of Health and Human Services
- Description of Work
THIS POSTING IS FOR 2 POSITIONS:#65019682 & #65021236
This is a repost and all previous need to reapply
*The maximum recruitment salary range for both positions: $33,960 - $40,361
Mission of the Department of Insurance:
To promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy and respect.
Mission of the Industrial Commission:
The North Carolina Industrial Commission is an agency of the State of North Carolina created by the General Assembly in 1929 to administer the North Carolina Workers' Compensation Act. In 1949, the Industrial Commission was also given authority by the General Assembly to administer the Tort Claims Act.
Additionally, the Industrial Commission is charged with administering the Law Enforcement Officers', Firemen's, Rescue Squad Workers' and Civil Air Patrol Members' Death Benefits Act, the Childhood Vaccine-Related Injury Compensation Program and Compensation to Persons Erroneously Convicted of Felonies.
The North Carolina Industrial Commission strives to effectively and fairly administer the Workers' Compensation Act and Tort Claims Act for the State of North Carolina and its citizens in the following manner:
The primary purpose of the Program Coordinator II/Compliance Officer is to:
- Providing reliable, accurate and efficient claims servicing;
- Providing quick resolutions to disputed issues in an administrative forum;
- Reviewing status of insurance coverage for employers subject to the Workers' Compensation Act;
- Promoting active resolution of disputes through mediation;
- Resolving controversies by rendering impartial and well-reasoned decisions;
- Facilitating high quality, effective medical care and rehabilitation for injured workers in complex medical/legal situations;
- Providing education and training to employers to reduce accident potential in the workplace;
- Providing prompt, efficient medical bill review in accordance with the NCIC Medical Fees Schedule;
- Investigating potential criminal violations of the NC Workers' Compensation Act, insuring compliance and confidence in our state's workers' compensation system.
- Be responsible for conducting investigative efforts within the Compliance Division to determine the coverage status of an employer within the State of North Carolina in accordance with Chapter 97 and any applicable insurance requirements.
- Review data analytics information received from various state information systems.
- Determine any additional information needed to assess penalties in accordance with Chapter 97.
- Seek any additional information from the identified employer, and other state agencies to clarify the details regarding the identified employer's status in North Carolina.
- Knowledge, Skills and Abilities / Competencies
The successful candidates will need to possess:
- Demonstrated experience understanding, interpreting, or applying provisions of a statute, rule, or regulation to a case or situation.
- General knowledge of insurance principles, investigative practices, research methods, or compliance processes.
- Demonstrated experience reviewing and analyzing information from different sources to address issues.
- Demonstrated experience reviewing and analyzing information to determine the accuracy or sufficiency of the information.
- Demonstrated experience clearly and concisely conveying oral and written information.
- Minimum Education and Experience Requirements
Bachelor's degree from appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience.
Preferred Qualifications –Two years of significant compliance or investigative related experience and experience working independently.
SKILLS ASSESSMENT WILL BE ADMINISTERED AFTER THE INTERVIEW
- Supplemental and Contact Information
For consideration for this vacancy, all applicants must complete an on-line application using this link, http://www.oshr.nc.gov/jobs/index.html. If multiple applications are submitted to an individual posting, only the most recent application received prior to the posting close date will be evaluated for the consideration. Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript.
Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified.
To receive credit for your work history and credentials, you must list the information on the State Application. Any information omitted from your application cannot be considered for qualifying credit.
The Department of Insurance/Industrial Commission will conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution.
The Department of Insurance/Industrial Commission uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals.
***INCLUDE ALL RELEVANT EDUCATION, WORK EXPERIENCE IN THE DESIGNATED EDUCATION AND WORK HISTORY SECTION ON THE FORMAL APPLICATION***
***Applications with "see attached" or resumes in lieu of completed education and work experience on the formal application will be deemed incomplete and will not be eligible for consideration for the vacancy***
Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax.
Applicants seeking Veteran's Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date.
Applicants may check the status of their application for a vacancy at any time by logging in to the government jobs system using the above link. Once the applicant has logged in, the status of each submitted application is documented next to each vacancy for which he/she has applied.
Tonya McLamb, HR Technician
NC Department of Insurance
Human Resources Office
Phone: (919) 807-6051