Do you have a passion for public service and enjoy making a difference? Don’t miss out on this opportunity. The Texas Department of Insurance (TDI) is hiring! Apply now if you’re looking for a rewarding career in public service. We regulate the insurance industry, administer the Texas workers’ compensation system, and educate and protect consumers.

You’ll love the benefits of working at TDI:

• Flexible work schedules.
• Hybrid telecommuting.
• 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 downtown Austin parking.
• Free comprehensive medical insurance for full-time employees, and the state pays 50% of the premium costs for dependents.

Insurance Specialist II (Compliance Specialist)

Performs routine (journey-level) insurance work. Work involves the investigation of alleged violations of the Texas Labor Code ad Texas Administrative Code, including securing evidence, examining, investigating, reviewing and interpreting complaints, records, reports, information systems and management practices to ensure legal compliance with state statutes and agency rules; conducting audits for performance and legal compliance. May be cross trained for multiple functions within the section. Works under moderate supervision with limited latitude for the use of initiative and independent judgment.

This position:

• Investigates complaint referrals for compliance, documents findings and recommends enforcement actions.
• Conducts compliance/performance audits of Texas workers’ compensation system participants.
• Provides customer service and answers technical questions for system participants.
• Assists with special projects.
• Performs other duties as assigned.

This position requires:

• Sixty (60) college hours and
• One year of work experience.
• Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.

Additional job details:

This position may be eligible for hybrid telecommuting. Employees must have a secure, dedicated workspace with Internet service, ability to maintain a reliable consistent work schedule, and be available for weekly meetings and group collaboration via Microsoft Teams and other applications during regular business hours.

The interview will include a writing test.

Preferences for this position include:

• Four-year college degree.
• Experience with databases and spreadsheets.
• Experience with medical billing, medical benefits or medical treatment.
• Auditing experience.
• Complaint processing experience.
• Investigation experience.
• Indemnity benefit experience.

This position requires demonstrated knowledge of:

• Researching databases.
• MS Office applications (Outlook, Word, Excel, PowerPoint, Access, SharePoint, Teams).
• Business terminology, spelling, punctuation, grammar, sentence structure and typing formats.

This position requires demonstrated skill in:

• Problem solving, decision making and planning.
• Effective written and verbal communication.
• Using personal computers to enter and extract data from related systems and programs.
• Using MS Office software applications including Word, Excel, PowerPoint, Access, Outlook, SharePoint and Teams.

This position requires the demonstrated ability to:

• Learn the statutes and rules pertaining to workers’ compensation.
• Learn Generally Accepted Government Auditing Standards (GAGAS) for performing audits.
• Learn documentary evidence review principles for investigating complaints involving workers’ compensation medical and claims records and data.
• Research, interpret and apply the Texas Labor Code and Texas Administrative Code.
• Present data, policies and recommendations in a clear and concise manner.
• Manage and coordinate multiple tasks and priorities to meet necessary deadlines.
• Work independently on a variety of high level, complex administrative duties/issues and technical assignments.
• Apply critical thinking to analyze and solve work related problems and to interpret agency policies and regulations.
• Communicate professionally and effectively, both verbally and in writing, with all coworkers, management and the general public.
• Establish and maintain effective working relationships with both internal and external customers.
• Prepare clear, concise, complete and convincing correspondence, reports and other documents.
• Identify processes and areas for improvement and potential solutions.

Veterans:

Click or copy and paste this link into your browser: www.texasskillstowork.com for 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 veteran’s preference, you must submit the following documents, as applicable, with your application.

• Copy of the DD-214; member #4.
• Statement of compensation from the Veteran’s Administration or
• Copy of the DD1300.

Job Type: Full-time

Pay: $3,415.67 per month

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Hybrid remote in Austin, TX 78701

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