TDI-Insurance Specialist II (Compliance Specialist)
Texas Department of Insurance, Austin, TX, United States
Do you have a passion for public state service and enjoy making a difference? The Texas Department of Insurance, Division of Workers’ Compensation (DWC) is hiring! DWC administers and operates the Texas workers’ compensation system, regulates the system, settles disputes, provides customer service, promotes workplace safety, and ensures compliance with state laws.
Benefits
Flexible work schedules
Work‑life balance
96 hours of accrued vacation per year
96 hours of accrued sick leave per 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 ERS
Free comprehensive medical insurance for full‑time employees; 50% off premium costs for dependents
Optional benefits such as dental, vision, life insurance, and many more
Qualified employer for the Federal Public Service Loan Forgiveness Program
Responsibilities
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.
Qualifications
Required:
Sixty (60) college hours.
One year of work experience.
Regular work attendance.
Education and experience relevant to position requirements may be substituted for one another on a year‑for‑year basis.
The interview will include a grammar test.
Preferred:
Four‑year college degree.
Experience with medical billing, medical benefits, or medical treatment.
Indemnity benefit experience.
Experience conducting investigations.
Knowledge:
State laws, rules, procedures, and regulations relevant to job requirements.
Researching databases.
Business terminology, spelling, punctuation, grammar, sentence structure, and typing formats.
Skills:
Problem solving and critical thinking.
Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.
Using personal computers to enter and extract data from related systems and programs such as CAPPS.
Abilities:
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 state laws, rules, procedures, and regulations (including Texas Labor Code and Texas Administrative Code) relevant to workers’ compensation.
Learn GAGAS (Generally Accepted Government Auditing Standards) 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
You must submit the following documents: employment history (month and year), duties and responsibilities, education, certifications, licenses, and supplemental questions (if applicable).
We may reject submissions that do not include all the required information.
If applying through WIT, log into CAPPS Career Center to access supplemental questions and review your submission.
How to Apply You may apply through CAPPS Career Center or Work in Texas (WIT). This position does not sponsor or assume sponsorship of an employment visa.
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Benefits
Flexible work schedules
Work‑life balance
96 hours of accrued vacation per year
96 hours of accrued sick leave per 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 ERS
Free comprehensive medical insurance for full‑time employees; 50% off premium costs for dependents
Optional benefits such as dental, vision, life insurance, and many more
Qualified employer for the Federal Public Service Loan Forgiveness Program
Responsibilities
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.
Qualifications
Required:
Sixty (60) college hours.
One year of work experience.
Regular work attendance.
Education and experience relevant to position requirements may be substituted for one another on a year‑for‑year basis.
The interview will include a grammar test.
Preferred:
Four‑year college degree.
Experience with medical billing, medical benefits, or medical treatment.
Indemnity benefit experience.
Experience conducting investigations.
Knowledge:
State laws, rules, procedures, and regulations relevant to job requirements.
Researching databases.
Business terminology, spelling, punctuation, grammar, sentence structure, and typing formats.
Skills:
Problem solving and critical thinking.
Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.
Using personal computers to enter and extract data from related systems and programs such as CAPPS.
Abilities:
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 state laws, rules, procedures, and regulations (including Texas Labor Code and Texas Administrative Code) relevant to workers’ compensation.
Learn GAGAS (Generally Accepted Government Auditing Standards) 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
You must submit the following documents: employment history (month and year), duties and responsibilities, education, certifications, licenses, and supplemental questions (if applicable).
We may reject submissions that do not include all the required information.
If applying through WIT, log into CAPPS Career Center to access supplemental questions and review your submission.
How to Apply You may apply through CAPPS Career Center or Work in Texas (WIT). This position does not sponsor or assume sponsorship of an employment visa.
#J-18808-Ljbffr