BWC Special Investigations Supervisor - PN

Position Overview

BWC’s core hours of operation are Monday-Friday from 8:00 am to 5:00 pm, although start and end times may vary based on operational need. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex‑time schedules that allow an employee to start as early as 7:00 am or as late as 8:30 am. Flex‑time schedules require supervisor approval and are based on operational need.

The reporting location will be determined based on the final candidate recommended for the position.

• Supervises personnel at Special Investigations service offices in Cleveland, Youngstown, and Canton in case management and management of medical and disability claims suspected of fraud.
• Monitors and reviews reports of investigation and the preparation and presentation of exhibits and evidence for criminal, civil, and arbitration/labor hearings to ensure appropriateness and accuracy.
• Develops and recommends BWC policies and procedures designed to identify and deter fraudulent activity within BWC and among outside sources such as injured workers, employers, and providers.
• Oversees investigative field operations and ensures compliance with the law.
• Acts as a liaison for the agency by preparing speeches and speaking at public forums about BWC Special Investigations.

• 3 years of investigative training or experience with experience corresponding to insurance fraud; 2 years of training or experience in a supervisory position associated with criminal investigation of insurance claims or an insurance fraud department; valid Ohio driver’s license.
• Or 4 years of investigative training or experience where experience does not correspond to insurance fraud; 2 years of training or experience in supervisory principles or techniques; valid Ohio driver’s license.
• Or 3 years as a BWC Fraud Investigator (classification 26261) or in a comparable position, or as a BWC Fraud Analyst (classification 26262) or in a comparable position, or any combination of previously named classifications or positions totaling 3 years of experience; valid Ohio driver’s license.
• Or equivalent of the Minimum Class Qualifications for Employment noted above.

• Investigation

• WC laws, policies and procedures; eligibility criteria and procedures used for processing WC claims
• English grammar; oral and written business communication
• Investigative practices and techniques; public relations
• Employee training and development; management principles and techniques
• Rules of evidence;
  Fraud Division investigation policies, procedures and techniques
• Labor relations; supervisory principles and techniques; interviewing

• Use of PC
• Operation of motor vehicle

• Define problems; collect data, establish facts and draw complex conclusions about existence of fraud
• Read and understand medical reference manuals
• Write meaningful, accurate reports and gather, collate, and classify information about data, people, or things
• Respond to sensitive inquiries from and contacts with injured workers, employers, providers, public officials, law enforcement agencies, and other state agencies
• Establish a friendly atmosphere as a supervisor of a department

Matthew Palte – HCM Sr. Analyst:
Matthew.

P.2o.gov

• Compensation: $44.38 – $63.41
• Schedule:
  
  Full-time
• Classification:
  Classified
• Union status:
  Exempt from Union
• Professional
  
  Skills:
  
  Attention to Detail, Ethics and Values, Leading Others, Time Management, Written Communication