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TDI-Insurance Specialist II (Compliance Specialist)

Texas, Austin, Texas, us, 78716

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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.

Insurance Specialist II (Compliance Specialist) This position

Investigates complaint referrals for compliance, documents findings, and recommends enforcement actions.

Conducts compliance audits of Texas workers’ compensation system participants.

Provides customer service and answers technical questions for system participants related to complaints or compliance audits.

Assists with special projects

Performs other duties as assigned.

This position requires

Sixty (60) college hours.

One year of work experience.

Regular work attendance.

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

The interview will include a grammar test.

Preferences for this position include

Four-year college degree.

Experience with medical billing, medical benefits, or medical treatment.

Indemnity benefit experience.

Experience conducting investigations.

This position requires demonstrated knowledge of

State laws, rules, procedures, and regulations relevant to job requirements.

Researching databases.

Business terminology, spelling, punctuation, grammar, sentence structure, and typing formats.

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.

This position requires the demonstrated ability to

Communicate and work effectively with a wide range of people with varied skills, knowledge, and backgrounds.

Maintain the confidentiality of sensitive information.

Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments.

Manage and coordinate multiple tasks and priorities to meet necessary deadlines.

Work both independently and as a team player.

Learn, research, and apply the state laws, rules, procedures, and regulations (including Texas Labor Code and Texas Administrative Code) relevant to workers’ compensation.

Learn Generally Accepted Government Auditing Standards (GAGAS) for performing compliance audits.

Learn documentary evidence review principles for investigating complaints involving workers’ compensation medical and claims records and data.

Communicate data, policies, and recommendations clearly and concisely, both verbally and in writing.

Establish and maintain effective working relationships with both internal and external customers.

Military Employment Preference Get help translating your military work experience and training courses into civilian job terms, qualifications/requirements, and skill sets. Redact personal or sensitive information from all attachments. To receive a military employment preference, you must submit the following documents, as applicable, with your application. See How to Apply – Military Employment Preference.

Applicable Military Occupational Specialty (MOS) codes are included, but not limited to, one of the following There are currently no military crosswalk codes available.

Click or copy and paste the following link into your browser to access Military Crosswalk information https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_Insurance.pdf

How to apply You may apply through CAPPS Career Center or Work in Texas (WIT).

The following information is required with your submission. Your submission must include the following

Employment history (month and year).

Duties and responsibilities.

Education.

Certifications.

Licenses.

Supplemental questions (if applicable)*.

We may reject submissions that do not include all the required information. *If you are applying through WIT, log into CAPPS Career Center to access supplemental questions and review your submission.

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