COMPLIANCE/AUDIT INVESTIGATOR 2

State-of-Nevad; Las Vegas (NV); On-site; USD 65,000 - 95,000; Full time

Job summary

The Department of Business and Industry, Division of Insurance in Las Vegas seeks a Compliance/Audit Investigator II to perform investigative and auditing duties, monitor compliance, and detect violations of federal and state laws or regulations in targeted program areas.

Qualifications include a bachelor’s degree in business, public administration, or related field with two years of relevant experience; or a high school diploma with four years’ experience; or two years as Compliance/Audit

Qualifications

• Bachelor's degree in business, public administration, business management, accounting or related field and two years of professional investigative/auditing experience; OR high school diploma with four years of experience; OR two years as Compliance/Audit Investigator I in Nevada state service.

Responsibilities

• Receive and review formal complaints; determine jurisdiction and extent of violations; gather facts and analyze background information.
• Conduct interviews with complainants, witnesses, employers and agencies to obtain information and develop leads.
• Prepare forms/notices and deliver them to parties; respond and discuss with complainant and respondent.
• Develop case files and logs; preserve evidence and document investigative steps for potential litigation.
• Gather and review financial and business records; serve subpoenas as required; identify trends and violations.
• Conduct audits to verify compliance and explain applicable Federal/State guidelines; report findings and recommendations.
• Prepare investigative and audit reports for hearings or prosecution; provide testimony as required.
• Perform related duties as assigned.

Skills

Investigative skills

Auditing

Regulatory compliance

Report writing

Education

Bachelor's degree in business or public administration

High school + 4 years experience

Job description

The Department of Business and Industry is recruiting to fill a Compliance/Audit Investigator 2 position within the Division of Insurance in Las Vegas. The incumbent will perform investigative and auditing functions to monitor compliance and detect violations of Federal and State laws or regulations pertaining to a specific program or regulatory area such as securities, Medicaid, mortgage lending, or workers’ compensation.

Bachelor's degree from an accredited college or university business or public administration, business management, accounting, or related field and two years of professional experience in an investigative, auditing or professional program-related position which required the application of federal and State laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR graduation from high school or equivalent education and four years of experience, two of which were in a professional investigative, auditing or professional program-related position which required the application of federal and/or State laws, policy and procedure in making program compliance determinations; preparing detailed reports for the purpose of justifying administrative sanctions or penalties or changes in management practices, policy and procedure; or recommending criminal prosecution; OR two years of experience as a Compliance/Audit Investigator I in Nevada State service; OR an equivalent combination of education and experience as described above.Enforcement powers regarding program violations are limited to a specific program area that involves administrative sanctions or penalties imposed by the federal government, State official or a Hearings Board. Criminal violations are referred to the appropriate criminal justice agency for prosecution. This series is distinguished from other investigative classes by the additional audit function which is performed at least 25% of the time. Audit work is performed in a specialized field which requires an extensive knowledge of federal and/or State laws, program rules and regulations; business operations; corporate structure; financial transactions, terminology and recordkeeping; and detecting falsified records and/or program violations. Violations may be elaborately planned and sophisticated in nature requiring extensive research and analysis to detect.

• Receive and review formal complaints; make determinations regarding possible program violations and jurisdiction within the specified program area; gather and analyze background information and facts pertaining to the complaint; make determinations regarding the extent of violations, and recommendations to initiate a formal investigation.
• Conduct interviews with complainant, witnesses, employers, State and local government agencies and other sources to obtain information regarding violations or noncompliance and develop leads and facts pertaining to the case to prove a violation or criminal intent exists.
• Prepare required forms and notices; deliver to appropriate party regarding complaint and/or alleged violations following department policy and procedure; respond, review and discuss with complainant and respondent.
• Develop case files and maintain case logs and reports; place evidence in case file along with chronological documentation regarding investigative steps taken and all contact made with complainant, respondent, witnesses and other sources; preserve and utilize evidence to develop final case reports and/or for future litigation.
• Gather and review evidence such as business and financial records, service contracts, professional reports, bank statements, billing documents, sales transactions, client account records, personnel files and historical data pertaining to the suspected violation to develop trends, patterns and to support complaint; serve subpoenas or other legal documents as required.
• Conduct audits on a periodic basis by either randomly selecting individual firms or business or as required by State law and reviewing business transactions for completeness, accuracy, and compliance with federal and/or State laws and regulations; evaluate internal procedures, operating methods, fiscal controls, and verify validity of financial statements and records; explain provisions and application of federal and/or State guidelines and discuss assessments, audit findings and recommendations.
• Prepare required forms and notices and send to appropriate parties regarding complaint and alleged violations; review and discuss responses with supervisor and/or Attorney General.
• Conduct research regarding program rules, court decisions, industry practices and standards, procedures and techniques to ensure compliance, and to develop or revise program regulations or policies; plan and coordinate investigations and audits to determine whether administrative and/or criminal action should be taken.
• Prepare investigative and audit reports encompassing results of examination of accounting records, known violations, statement of facts, case summary, and exhibits of evidence, statements obtained from witnesses, conclusions and recommendations; review and submit reports for hearing or prosecution, and to impose fines and penalties; appear before the governing body or in a court of law to provide testimony as required.
• Perform related duties as assigned.

Under general supervision, incumbents perform the duties outlined in the series concept and work independently utilizing generally accepted investigative and auditing principles and practices. This is the journey level in the series.

Working knowledge of:

general accounting procedures and rules; business practices and procedures; investigative principles and practices; office procedures, methods and equipment.

Ability to:

analyze statutes, rules, and regulations and apply to investigative or audit findings; make oral group presentations to provide information and explain procedures, policies, and laws pertaining to the program area; read and interpret contracts and legal documents in relation to the program area; review and analyze information received from business, complainant and governmental agencies; conduct interviews both in person and by phone to ascertain factual information; mediate and negotiate resolution between contending parties.