Program Coordinator II - Compliance Officer at NC Office of State Human Resources in Wake County, NC

Job description

• Mission of the Industrial Commission
• The North Carolina Industrial Commission is vested as a court of exclusive and original jurisdiction by the General Assembly to adjudicate and administer the North Carolina Workers'
• Compensation Act. The Industrial Commission processes over 65,000 workers' compensation injury reports and claims filed annually under the Act. This responsibility includes overseeing and providing for the trial of contested cases as well as administering non-contested cases.
• Workers who are injured by accident on the job or who contract an occupational disease receive disability and medical benefits as ordered by the Industrial Commission. The Industrial Commission is also a court of original jurisdiction for litigating tort claims against the State under the North Carolina State Tort Claims Act.
• Additionally, the General Assembly has mandated the Industrial Commission to provide an adjudicated process for Childhood Vaccine-Related Injury claims and Compensation to Persons Erroneously Convicted of Felonies.
• It acts as a court of exclusive and final jurisdiction for death claims made by families of law enforcement officers, fire fighters, rescue squad workers and civil air patrol members arising under the Public Safety Employees' Death
• Benefits Act. Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements, and supervision of payment of benefits.
• The Compliance Division of the North Carolina Industrial Commission works with businesses operating in North Carolina to ensure compliance with the insurance requirements of the Workers' Compensation Act. The Compliance Division handles civil cases involving employers who are non-insured in violation of N.C. Gen. Stat. § 97-93 and N.C. Gen. Stat. § 97-94. An employer is non-insured if the employer has the requisite number of employees pursuant to N.C. Gen. Stat. § 97-2 and does not carry workers’ compensation insurance or does not obtain certification from the Commissioner of Insurance as a self-insured employer.
• The Compliance Division investigates referrals to determine whether an employer is compliant with the Workers’ Compensation Act. If the investigation establishes that the employer is subject to the Workers’ Compensation Act, an administrative penalty can be assessed for the period of time during which the employer was not insured and was subject to the Act. The Compliance Division also assists the North Carolina Department of Justice with the enforcement and collection of penalty assessments and facilitates adjudication of contested penalty cases and settlements.
• The Compliance Officer is responsible for investigating the insurance coverage status of employers in North Carolina to ensure compliance with Chapter 97 and other applicable insurance requirements. The Compliance Officer reviews data analytics from various State information systems and identifies potentially non-compliant employers. Additional information is then requested from the identified employers and other State agencies to determine the employers’ insurance status. Recommendations are made for civil penalty assessments against noncompliant employers in accordance with the provisions of Chapter 97.
• Professional level work is required to review the insurance coverage status of identified employers to determine if the employer is subject to and in compliance with Chapter 97. The Compliance Officer evaluates policy forms, addenda, payroll records, corporate filings, and related factors to determine compliance with statutory provisions. The Compliance Officer applies insurance law, department regulations and appropriate procedures to ensure compliance with Chapter 97. Work is reviewed and evaluated by a supervisor through meetings, reports, and a detailed review of completed work assignments.

Responsibilities

• Investigating the insurance coverage status of employers in North Carolina to ensure compliance with Chapter 97 and other applicable insurance requirements.
• Reviewing data analytics from various State information systems and identifying potentially non-compliant employers.
• Requesting additional information from identified employers and other State agencies to determine the employers’ insurance status.
• Making recommendations for civil penalty assessments against noncompliant employers in accordance with the provisions of Chapter 97.
• Evaluating policy forms, addenda, payroll records, corporate filings, and related factors to determine compliance with statutory provisions.
• Applying insurance law, department regulations and appropriate procedures to ensure compliance with Chapter 97.

Requirements

• Knowledge Skills and Abilities/Management Preferences
• • A minimum of two years of significant compliance or investigation experience working independently.
• • Demonstrated experience applying provisions of a statute, rule, or policy to a situation.
• • Demonstrated experience reviewing and analyzing information from different information sources to address issues and determine the sufficiency of the information.
• • Demonstrated computer skills and considerable experience using common Microsoft Office suite programs, including Microsoft Word, Microsoft Excel, and Microsoft Outlook.
• SKILLS ASSESSMENT WILL BE ADMINISTERED DURING THE INTERVIEW
• Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.
• Minimum Education and Experience
• Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.
• Bachelor’s degree from appropriately accredited institution and one year of experience related to the area of assignment; or an equivalent combination of training and experience.

Skills

Required

• Compliance or investigation experience

Benefits

• We value our employees and offer a wide variety of competitive and family-friendly benefits. Benefits include:
• 12 Annual paid Holidays
• North Carolina State Health Plan administered by AETNA
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts
• NC OSHR: Benefits