Cincinnati - BWC Fraud Investigator - PN: 20066679

Taleo; Springdale (OH); On-site; USD 43,000 - 63,000; Full time

Job summary

Ohio Bureau of Workers' Compensation is seeking a full-time Fraud Investigator to analyze data and conduct field investigations for fraud, abuse, and violations. The role requires independent caseload management, performing interviews, and surveillance to identify noncompliance with coverage or lapsed coverage.

The position involves testifying in grand juries and courts, and collaborating with team members to meet performance goals. Travel may be required; OCSEA union represents workers.

Qualifications

• Associate core program in criminology, criminal justice, or law enforcement; 18 mos. exp. in investigations.
• Conducts field interviews, surveillance, evidence gathering in investigations.

Responsibilities

• Analyzes data to detect fraudulent activity and conducts field/in-house investigations.
• Manages assigned investigative caseload and develops action plans.
• Testifies before grand jury, courts, and administrative hearings on evidence.

Skills

Investigation

Analyzation

Critical Thinking

Ethics and Values

Time Management

Written Communication

Job description

Job Description - Cincinnati - BWC Fraud Investigator - PN: 20066679 (260007FB)

Cincinnati - BWC Fraud Investigator - PN: 20066679 ( 260007FB )

Organization

Workers' Compensation

Agency Contact Name and Information : Matthew Palte- HCM Sr. Analyst: [e-mail]

Unposting Date

Oct 12, 2026, 3:59:00 AM

Work Location

Cincinnati Claims Office 135 Merchant Street Springdale 45246

Primary Location

United States of America-OHIO-Hamilton County-Springdale

Compensation : $31.47 - $46.08

Schedule

Full-time

Work Hours : 40

Union : OCSEA

Primary Job Skill

Technical Skills : Investigation

Professional Skills : Analyzation, Critical Thinking, Ethics and Values, Time Management, Written Communication

Agency Overview

A Little About Us:
With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers.
For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries.

Our Culture

BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.

Our Vision

To transform BWC into an agile organization driven by customer success.

Our Mission

To deliver consistently excellent experiences for each BWC customer every day.

Our Core Values

One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.

Job Description

This position is considered a field position and will not be required to report into a physical office on daily basis but based on operational need.

What Our Employees Have to Say

BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:

• BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
• I have worked at several state agencies and BWC is the best place to work.
• Best place to work in the state and with a sense of family and support.
• I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.
• I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.

What You’ll Be Doing

• Analyzes computerized data (e.g. Human Services Criss-E, Auto Track, Sanctions, Ohio Offender, BMV photo files, LEADS-Law Enforcement Automated Data System) to detect fraudulent activity and conducts field and or in-house investigations into allegations of fraud, abuse and or other violations.
• Independently manages & prioritizes assigned investigative caseload and develops action plans as deemed appropriate to successfully complete assigned cases.
• Testifies before grand jury, courts of law and administrative hearings as to validity and accuracy of techniques used to obtain administrative and criminal evidence.
• Conducts covert surveillance activities in order to identify whether employers are operating without coverage or with lapsed coverage.
• Supports the team/department/agency with achieving performance goals by assisting other team members and teams with cases which may involve subject/witness interviews and travel.

Why Work for the State of Ohio

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) &Optional Deferred Compensation ( Ohio Deferred Compensation )

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

Completion of associate core program in criminology, criminal justice, or law enforcement; 18 mos. exp. in conducting criminal investigations. (Note: conducting criminal investigations is defined as performing field interviews & interrogation, field surveillance, field information & evidence gathering techniques while conducting investigations involving violations of criminal law (i.e., special emphasis on theft & fraud cases) as well as researching various administrative laws, policies & procedures related to commission of possible criminal offenses); if required to operate state vehicle valid driver’s license.

-Or, for positions focused on forensic accounting/auditing: Completion of associate core program in forensic accounting/auditing or accounting: 18 mos. exp. in performing forensic accounting/auditing duties; if required to operate state vehicle valid driver’s license. The final applicant accepted for this position must successfully pass state highway patrol personal background check prior to employment. –

-Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Pursuant to Ohio Administrative Code Chapter 4501users of system shall adhere to policies & guidelines published in NCIC operating manual, CJIS security policy, LEADS operating manual, LEADS security policy, newsletters, & administrative messages from LEADS, all of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS security policy (revised 05/07/03) state & national fingerprint-based record checks must be conducted within 30 days of initial employment or assignment of all personnel, including appropriate IT personnel, having access to LEADS, or to records storage areas containing CCH/II data; minimum check must include submission of both a State of Ohio BCI& I card & an FBI applicant fingerprint card; both completed applicant fingerprint cards must be submitted by employing agency to State of Ohio Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this check must be kept by employing agency & made available to LEADS upon request; fingerprint card returned by Ohio BCI&I is sufficient documentation. Pursuant to Ohio Administrative Code Chapter 4501 terminal agency shall conduct a complete background investigation of all terminal operators including, but not limited to: an applicant fingerprint card submission to BCI&I & FBI, an inquiry of state & national arrest & fugitive files; terminal agency is required to notify CTO of any applicant’s criminal record; existence of a criminal record may result in denial of access.

Job Skills: Investigation

Major Worker Characteristics

Knowledge of: criminology, criminal justice or law enforcement; BWC*, state & &/or federal statutes, rules, regulations & procedures applicable to investigations, evidence gathering & search & seizure; public relations; interviewing, case preparation; LEADS operator rules & regulations*; human relations.

Skill in: operation of personal computer, word processor, database & spreadsheet software, analytical software used in fraud detection*; surveillance equipment (e.g. 35 mm camera, camcorder, mini camera, undercover audio recording devices)*.

Ability to: define problems, collect data, establish facts & draw valid conclusions; gather, collate, classify information about data, people or things; prepare meaningful, concise & accurate reports, conduct interview effectively; assess immediate situation & make split second decisions; handle sensitive inquiries from & contacts with officials & general public; safely handle irate &/or dangerous citizens; recognize unusual or threatening conditions & take appropriate action; deal with many variables & determine specific action during investigative process; comprehend & record figures accurately; add, subtract, multiply & divide whole numbers; calculate fractions, decimals & percentages; understand manuals & verbal instructions, technical in nature; use proper research methods in gathering data; work in isolation.

(*) developed after employment

Supplemental Information

EEO & ADA Statement

The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.

The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, pleasecontact the ADA mailbox [e-mail] .

BWC OCSEA Selection Rights

This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.

Transportation

Position may require travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.

Educational Transcripts

For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.

All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.

Background Check

Prior to an offer of employment , the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.

ADA Statement

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Drug-Free Workplace

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.