Workers' Compensation Compliance Investigator
Commonwealth of Pennsylvania
Overview Are you interested in playing a key role in protecting the rights of workers across Pennsylvania? The Department of Labor & Industry is searching for a Workers' Compensation Compliance Investigator to join the Bureau of Workers Compensation Directors Office. This role uses investigative skills while guiding the public through their responsibilities under the law. Your work will support fair outcomes, reduce disputes, and strengthen trust in the workers compensation system. Apply now to make a real difference for workers and businesses throughout the Commonwealth. Description of Work As a Workers' Compensation Compliance Investigator, you will support statewide efforts to ensure that employers, insurers, and medical providers follow the Pennsylvania Workers Compensation Act. This role uses investigative work, communication skills, and legal knowledge to help resolve concerns and promote compliance. You may testify as a witness for the Commonwealth in the prosecution of noncompliant employers in formal judicial proceedings. As a Workers' Compensation Compliance Investigator, you will perform the following duties: Complaint Investigation: Investigate reports of noncompliance with the Workers' Compensation Act and related regulations Employer Education: Inform the public and employers about their responsibilities through clear verbal and written communication Case Development: Gather records, interview workers, and prepare case summaries for possible prosecution under Section 305 On-Site Reviews: Conduct evaluations of employer worksites to determine compliance and guide them in understanding legal requirements Fraud Review: Examine allegations of workers' compensation fraud and provide findings to appropriate insurance carriers Exemption Processing: Review and process applications for exemption under religious or executive officer provisions and maintain accurate records Additional details regarding this position can be found in the position description. Work Schedule and Additional Information Full-time employment Work hours are 8:00 AM to 4:00 PM, Monday – Friday, with a 30-minute lunch Telework: Potential to work from home part-time with in-office reporting 2 days per week. Requires a securely configured high-speed internet connection and an approved location inside Pennsylvania. If you cannot telework, you may report to the headquarters in Harrisburg. Telework is subject to change. Additional details may be provided during the interview. Salary: In some cases, the starting salary may be non-negotiable. Communication: You will receive further information via email; check your spam/junk folders for notices. Qualifications Minimum Experience and Training Requirements: Four years of clerical work in the review, research, and presentation of records, correspondence, and documents, including two years of public contact experience; or An equivalent combination of experience and training that includes two years of public contact experience. Other Requirements: Possession of a valid driver’s license Pennsylvania residency requirement (see Residency Guidelines) Ability to perform essential job functions How to Apply Resumes, cover letters, and similar documents will not be reviewed; provide information on the application to support eligibility If claiming education, attach college transcripts for the claim to be accepted toward minimum requirements (unofficial transcripts acceptable) Submit by the posting closing date; late applications will not be accepted Failure to comply may eliminate you from consideration All materials and interview responses must reflect the applicant’s own experience; use of AI tools for preparation is allowed for practice only and not to misrepresent information Veterans State law provides employment preference for qualified veterans. For more information, visit the PA employment site and click on Veterans Telecommunications Relay Service (TRS) 711 (for hearing and speech disabilities) If you are contacted for an interview and need accommodations due to a disability, discuss requests with the interviewer in advance. The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by law. All diverse candidates are encouraged to apply. #J-18808-Ljbffr Commonwealth of Pennsylvania
$25 - $30 per hour
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$40 - $90 per hour
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$107.7k - $199.3k
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Primary DetailsTime Type: Full time Worker Type: Employee The Opportunity: Vice President, Workers' Compensation Programs will execute business strategy for assigned Workers' Compensation (WC) programs by underwriting business, evaluating risk, and ensuring decisions...Full timePart timeWork at officeWork from home- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...: - Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. - Relevant...Full timeWork experience placementWork at officeLocal area
$35.05 - $42.84 per hour
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$66.3k - $72k
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$79.52k
A government law enforcement agency in New York seeks a Senior Rackets Investigator for its Worker Protection Unit. The role involves conducting investigations into worker exploitation, collaborating with community groups, and preparing reports. Candidates must have relevant...- The New York City Department of Consumer and Worker Protection is seeking an Inspector to conduct investigations and support legal enforcement. This role involves researching various cases and preparing documentation and reports. Candidates should have a strong background...Remote work2 days per week
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$201.5k - $330.1k
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$201.5k - $330.1k
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- Workers Compensation Clams Examiner | CT, MA, NH, RI, VT Jurisdictions | License Required To analyze Lost-Time Workers Compensation claims... ...action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the...Flexible hours
- Venture Forthe, Inc. is seeking an experienced Workers' Compensation Specialist to manage comprehensive claims processes and ensure employee... ...guiding employees through complex regulations and maintaining compliance. Ideal candidates will have at least 2 years of relevant...
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