NY HELP No

Agency Insurance Fund, State

Title Investigative Officer 1 (SIF)

Occupational Category Administrative or General Management

Salary Grade 16

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $61647 to $77535 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 20%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County New York

Street Address 199 Church Street

City New York

State NY

Zip Code 10007

Minimum Qualifications • An associate’s degree or higher in criminal justice or related field, OR• Five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, OR• Seven years of professional investigation experience involving economic or insurance related matters. Related fields include law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, and economic crime management.Please be advised that the New York State Insurance Fund does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position.

Duties Description Under the general direction of the Investigative Officer 2 (SIF), the Investigative Officer 1 (SIF) supervises extensive investigations of fraud, waste and abuse by claimants, policyholders and medical care providers throughout the state.Duties include, but are not limited to:• Gathers and analyzes critical documentary evidence from various department files, contracts, investigator reports, police reports, payroll records, business records, bank records, and policyholder books and reports.• Utilizes strong investigative experience to handle a full range of investigative tasks, including the most complex and sensitive investigations which require a full understanding of workers’ compensation law.• Personally supervises and/or conducts database searches into corporations, liens, address and property ownership, and gathers other such public and private intelligence information to support investigations.• Utilizes investigative expertise and contacts within the legal/prosecutorial community to effectively investigate, gather and analyze critical documentary evidence to build a sound case. Reviews investigations, written reports and associated evidence to conclude sufficiency of evidence for presentation to a prosecutor for criminal actions or NYSIF Civil actions.• Under the direction of the Investigative Officer 2 (SIF), uses their experience and knowledge of, and contacts with, prosecutorial officials to ensure the proper presentation of evidence and the full development of all potential criminal and civil actions. Investigative Officers 1 (SIF) may also directly ensure NYSIF’s investigations are receiving the proper attention from the prosecutors and provide assistance with the initiation and presentation of new cases, as well as the follow-up after convictions.• Participates in NYSIF sponsored training to adapt investigative skills for the detection of insurance fraud.• Provides fraud detection training and mentoring to Business Office staff to ensure optimal attention to potential signs or “Red Flags” of claims fraud, policy fraud and medical provider fraud. Interacts with all levels of staff and management at NYSIF in this regard.• Reviews, analyzes and extracts material from claims, underwriting and hospital records to determine the validity of allegations.• Interviews and obtains affidavits and testimonies from witnesses and subjects of investigations, including for example employers, co-workers, witnesses to accidents, lawyers, physicians, hospital administrators and insurance executives.• Obtains documentary evidence concerning concealed employment and illicit activities including payroll records, receipts, contracts, and affidavits from employers.• Employs foot, stationary, and vehicle surveillance techniques to gather and record evidence in various formats.• Directs undercover surveillance at worksites, private homes, and businesses belonging to claimants, doctors, and/or policyholders utilizing the services of contractual investigators, as needed.• Prepares narrative reports, as well as reviews and compiles staffs’ reports for submissionto Executive Management.• Maintains professional contact with Legal counsel, law enforcement authorities, sister state agencies and regulatory agencies.• Collaborates with NYSIF attorneys on the preparation for trials, civil litigation and/orWorkers’ Compensation Board hearings.• Testifies at trials and other official proceedings, when necessary, and/or arranges for witness testimony and introduction of evidence at trial.• May conduct internal employee background investigations.• Prioritizes, assigns and coordinates the workload of support staff; providing training and advice to staff; and evaluating performance and quality of work.• Employs appropriate techniques for handling sensitive, confidential and protected information.

Additional Comments Please note, the salary range shown includes location pay.NYSIF has a telecommuting policy.For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.Fringe Benefits: • Competitive Compensation.• Future Career Growth Potential. • Open and Supportive Team-Based Environment.• Plentiful Vacation, Personal, and Sick Leave Accruals. • Paid State and Federal Holidays.• Full Medical, Vision, and Dental. • Retirement Options. • Possibility of Telecommuting, Flextime, and Alternative Work Schedules.NYSIF Commitment to Diversity, Equity, and InclusionThe New York State Insurance Fund (NYSIF) prioritizes and champions diversity, equity, and inclusion (DEI) throughout our agency. NYSIF provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability, veteran status, or any other protected category under federal, state, and local law. We believe that embracing our differences brings richness, new ideas and experiences to NYSIF, which energizes a creative and innovative work environment. We strive to foster a workplace where diverse individuals are able to participate fully in the decision-making process and have ample opportunity for advancement. We are committed to investing the necessary resources and attention to improving the engagement, retention, and promotion of the extraordinary talent we have.Executive Order 31 commits New York State government to becoming a model employer for people with disabilities, increasing the participation of people with disabilities in state service and ensuring equal access to opportunities. NYSIF is proud to utilize best practices to recruit, hire, retain, and promote career advancement of individuals with disabilities. This includes special focus on current and prospective employees with the most significant disabilities, such as the use of supported employment, individual placement with support services, customized employment, the civil service sections 55/b and 55/c programs, internships, and job shadowing. If you are a person with a disability and wish to request that a reasonable accommodation be provided for you to participate in a job interview, please send an email to NYSIF’s Reasonable Accommodations mailbox at ra@nysif.com.

Some positions may require additional credentials or a background check to verify your identity.

Name Ana Luiza Gorman

Telephone

Fax (518)437-1618

Email Address hr@nysif.com

Address

Street PO Box 66699

City Albany

State NY

Zip Code 12206

Notes on Applying Candidates should email a resume and cover letter to hr@nysif.com, indicating the vacancy post number in the subject line.