Job: Ind. Accident Investigator I

Jobing Description

Investigates suspected or alleged violations regarding Workers' Compensation laws, prepares reports and evidence concerning investigations, testifies at hearings, informs employees of rights under Workers' Compensation laws and performs related work, as required. The purpose of this work is to conduct investigations concerning violations of Workers' Compensation laws, rules, and regulations.

Detailed Statement of Duties and Responsibilities:

1. Investigates suspected or alleged violations or complaints regarding Workers' Compensation coverage for employees to determine if violation has occurred, seeks criminal complaints and if necessary ensures closing of a business by issuing a stop work order.
2. Investigates insurer performance regarding payments of Workers' Compensation claims by reviewing computer printouts, written and verbal complaints from employees, and other related data in order to determine if a violation has occurred and takes appropriate action, including issuing fines.
3. Prepares reports and evidence concerning investigations in order to provide required information, assists legal staff in case preparation and makes appropriate recommendations concerning investigations.
4. Testifies at hearings to present information or evidence regarding violations of Workers' Compensation laws by employers or insurers.
5. Informs uninsured employees of rights under Worker's Compensation laws and refers to appropriate resources for information and guidance.
6. Investigates claimants for possible fraud by conferring with other agencies, employers, etc., and refers cases to Attorney General for prosecution.
7. Performs related duties, such as handling Trust Fund claims, investigating accident sites, acting as a keeper of records, and compiling documents for third party settlements, as assigned.

Qualifications:

Minimum Entrance Requirements:

Applicants must have at least two years of full-time, or equivalent part-time, experience in investigatory or law enforcement work.

Special Requirements:

Possession of a current and valid Massachusetts Class D Motor Vehicle Operator's license.

Preferred Qualifications:

Qualifications Required at Hire:

1. Knowledge of investigative techniques and methods of general report writing and ability to write clearly and concisely.
2. Ability to understand, apply, and explain the laws, rules, regulations, policies, procedures, specifications, standards, and guidelines governing assigned activities.
3. Ability to gather information through questioning, observing individuals and examining records and documents.
4. Ability to read and interpret legal documents, such as insurance contracts, court decisions, briefs, and opinions.
5. Ability to follow oral and written instructions.
6. Ability to analyze and determine the applicability of Workers' Compensation data, to draw conclusions, and to make appropriate recommendations.
7. Ability to communicate effectively and to interact with people who are under physical and/or emotional stress.

Comments:

This is a Civil Service position.