TDI-Investigator V (Fraud Investigator)

TDI-Investigator V (Fraud Investigator) (00056743)

Organization: TEXAS DEPARTMENT OF INSURANCE

Primary Location: Texas-Austin

Work Locations: Aus Barbara Jordan Building 1601 Congress Avenue Austin 78701

Job: Business and Financial Operations

Employee Status: Regular

Schedule: Full-time

Standard Hours Per Week: 40.00

Travel: Yes, 5 % of the Time

State Job Code: 1355

Salary Admin Plan: B

Grade: 22

Salary (Pay Basis): 5,000.00 - 5,000.00 (Monthly)

Number of Openings: 1

Overtime Status: Non-exempt

Job Posting: Mar 12, 2026, 2:22:45 PM

Closing Date: Ongoing

Description

Do you have a passion for public state service and enjoy making a difference? Don’t miss out on this opportunity. The Texas Department of Insurance, Division of Workers’ Compensation (DWC) is hiring! DWC administers and operates the Texas workers’ compensation system. DWC regulates the workers’ compensation system, settles disputes, provides customer service, promotes workplace safety, and ensures compliance with state laws. DWC has 20 offices across the state of Texas, with the headquarters located in the Capitol Complex, in the Barbara Jordan Building at 1601 Congress Avenue in Austin, near the Texas Capitol.

Benefits of working at TDI:

Flexible work schedules.
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 parking.
401(k) and 457 Programs.
State of Texas retirement plan with a lifetime annuity through the Employee Retirement System of Texas (ERS).
Free comprehensive medical insurance for full-time employees and 50% off premium costs for dependents (state pays the other 50%).
Optional benefits like dental, vision, life insurance, and many more.
Qualified employer for the Federal Public Service Loan Forgiveness Program.

Before you apply:
TDI does not sponsor or assume sponsorship of an employment visa.
Learn about our selection process, our military employment preference, licensing, and credential requirements.

Investigator V (Fraud Investigator)
This position performs advanced (senior-level) investigative work involving planning, organizing, and conducting investigations. Investigates fraudulent insurance acts committed by health care providers, attorneys, claimants, and employers within the state of Texas's workers’ compensation system. Prepares criminal case investigative reports for prosecutors. Performs moderately complex analyses of factual and legal situations and documents findings. Acts as liaison with external entities, such as Special Investigative Units (SIUs) of insurance companies and with state and federal law enforcement and other governmental agencies. May frequently plan and organize investigative activities and may develop and provide training on investigative techniques, policies, and procedures for conducting investigations. May supervise the work of others. Works under minimal supervision with considerable latitude for the use of initiative and independent judgment.

This position:

Conducts workers’ compensation fraud and criminal investigations.
Interviews witnesses and suspects and takes oral and written statements.
Reviews complex financial and business records, forms, reports, and other documents to extract evidence and prepare investigative reports.
Documents investigative activity using a case management system; organizes and maintains case files and evidence.
Coordinates criminal investigations and maintains contact with various state or federal law enforcement organizations related to insurance fraud matters;
May frequently plan and organize investigative activities and may develop and provide training on investigative techniques, policies, and procedures for conducting investigations;
Provides testimony and technical support with judicial proceedings by reviewing legal aspects of investigations and recommending action as appropriate;
Prepares summary reports for the chain of command; and
Performs other duties as assigned.

Qualifications

This position requires:

Graduation from an accredited four-year college or university with a degree in criminal justice, finance, or a related field.
Plus three years’ experience in financial fraud investigation, complex financial analysis, or criminal investigation.
Regular work attendance.
Experience and education relevant to the position requirements may be substituted for one another on a year-for-year basis.

Note:
This position requires the applicant to be eligible to apply for access to the Texas Criminal Justice Information System. For eligibility, see: https://www.dps.texas.gov/administration/crime_records/docs/txCJISSysAccPolicy.pdf

TDI will conduct a criminal background check on all final candidates. An applicant who has been convicted of, received deferred adjudication for, or has an open arrest for a criminal offense, may be disqualified from employment.

Additional job details:

The interview will include a writing test.

Registration, License, or Certification Required:

Certified Fraud Examiner (CFE) certification, or eligible for CFE certification. Required to obtain CFE certification within one year of hire or at the manager’s discretion. Required to maintain CFE certification in accordance with requirements established by the Association of Certified Fraud Examiners.

This position requires demonstrated knowledge of:

Personal computers and a variety of software packages such as Microsoft Office software applications, including Word, Excel, PowerPoint, Access, Outlook, SharePoint, and Teams;
Local, state, and federal laws related to insurance, workers’ compensation, and criminology;
Texas Labor Code, Texas Penal Code, and Code of Criminal Procedures;
Police practices and procedures;
Grand jury and courtroom procedures;
Criminal investigative processes;
Police report writing;
Interview and interrogation techniques;
Rules of Evidence;
Planning and conducting complex investigations; and
State laws, rules, procedures, and regulations relevant to job requirements.

This position requires demonstrated skill in:

Planning, decision making, and problem solving;
Critical thinking;
Effectively obtaining statements from witnesses and suspects.
Networking;
Organizing and prioritizing workload, performing multiple tasks, and devising solutions to problems;
Writing reports and documenting activities in a case management system;
Using personal computers and software packages to enter and extract data for analysis from related systems and programs;
Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint; and
Using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job.

This position requires the demonstrated ability to:

Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments;
Manage and coordinate multiple tasks and priorities to meet necessary deadlines;
Work both independently and as a team player;
Conduct investigations related to workers’ compensation insurance fraud;
Communicate complex information effectively, both orally and in writing, to coworkers and the general public;
Comprehend and apply criminal statutes, including the Texas Insurance Code;
Analyze correspondence, business records, and other documents to extract relevant information;
Research rules and statutes and apply knowledge to individual cases;
Effectively and efficiently analyze complex financial statements, reports, and forms;
Present complex data, policies, analyses, and recommendations in a clear, concise, and compelling manner;
Audit accounts, statements, reports, policy forms, and other records of insurance companies;
Exercise independent judgment and use discretion in making decisions relative to assigned investigation;
Establish and maintain effective working relationships with a wide range of people with varied skills, knowledge, and backgrounds, including TDI employees, the public, the insurance industry, and elected officials and their staff;
Drive vehicles for extended periods;
Effectively write an investigation report;
Work independently and meet deadlines;
Maintain the confidentiality of sensitive information;
Maintain professional demeanor and conduct;
Follow the chain of command and directions; and
Lift 50 lbs.

Military Employment Preference
Get 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 military employment preference, you must submit the following documents, as applicable, with your application. See How to Apply – Military Employment Preference.

Applicable Military Occupational Specialty (MOS) codes are included, but not limited to one of the following:
31A, 31B, 31D, 311A, 5819, 5821, 71SX.

Click or copy and paste the following link into your browser to access Military Crosswalk information:
Military Crosswalk for Occupational Category - Compliance, Inspection, and Investigation

How to apply:
You may apply through the CAPPS Career Center or Work in Texas (WIT).
The following information is required with your submission. Your submission must include the following: