COMPLIANCE INVESTIGATOR MANAGER

About this Job

Office of Workers’ Compensation
Division: Fraud Claims
Location: Baton Rouge, LA

Office of Workers' Compensation
The Louisiana Works is seeking an Compliance Investigator Manager to join the Office of Workers' Compensation. The Office of Workers’ Compensation Administration (OWCA) in Louisiana oversees the enforcement and administration of workers’ compensation laws, aiming to support early return-to-work efforts and improve workplace safety. The department manages disputed claims, conducts hearings, reviews medical treatment disputes, and investigates fraud through collaborative efforts like the GAME ON task force. The OWCA also provides OSHA consultation services to high-risk industries, while Records management maintains detailed records and reporting systems, including electronic submissions of injury reports. Additionally, OWCA conducts financial audits and ensures compliance among self-insured employers and insurance carriers. OWCA does not process individual workers' compensation claims or issue benefit payments. They also do not help injured workers with the claims management.

The Compliance Investigator Manager will manage the statewide Fraud and Compliance Program within the Office of Workers' Compensation Administration (OWCA). The program investigates and collects evidence on cases suspected of violating the Louisiana Workers' Compensation Act . La. R.S. 23:1168, La. R.S. 23:1208, et seq.) and monitors employer compliance statewide.

The Compliance Investigator Manager will assign staff to conduct field investigations, audits, compliance verification, and penalty collection. This position provides leadership in managing operational goals, developing enforcement procedures, and ensuring adherence to applicable statutes and administrative rules.

This role differs from a Compliance Investigator Administrator by the absence of administering all agency-wide investigative activities, but it manages the day-to-day work of the Fraud and Compliance Division, serves as spokesperson in the absence of Administrators, and may oversee budget tracking.

Minimum Qualifications

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties and Other Information

Job Details:

• Manage a caseload of fraud files, oversee fraud audits, and assist in prosecution of employer workers’ compensation fraud cases statewide.
• Perform financial and compliance audits for fraud cases and coordinate with the Unemployment Insurance unit for LAWATS and audit reporting.
• Review and approve investigative findings, ensuring consistency and quality across cases.
• Develop, implement, and monitor investigative methods, evidence collection procedures, and case presentation standards.
• Ensure employer compliance with Louisiana workers’ compensation coverage requirements; collect penalties for non-compliance, including assessment of liens on property.

• Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.