Job opening: Employee Benefits Investigator
Salary: $106 841 - 138 891 per year
Published at: Aug 01 2023
Employment Type: Full-time
This position is expected to identify trends, emerging issues, and areas of enforcement in the employee benefits industry, and to work with legal, health, and financial experts to transmit strategies, approaches, targeting techniques, and lessons learned throughout the agency. The position will lead efforts in policy direction for agency-wide investigations.
This position is inside the bargaining unit.
Duties
Major duties for this position include, but are not limited to the following:
Participate in major, complex, novel, multi-jurisdictional, high visibility, sensitive, and high impact investigations, with broad impact. Lead investigations turned over to the team due to its unique conditions.
Apply advanced knowledge of the Employee Benefits Security Administration (EBSA)'s enforcement policies and procedures and the employee benefits industry to enhance the targeting and correction of Employee Retirement Income Security Act (ERISA) violations.
Serve as a technical expert and policy advisor regarding the investigation processes and strategies for the EBSA investigations, the enforcement program, education, and compliance initiatives.
Keep informed on current trends, interpretations, and legal actions arising from cases that may affect the enforcement of the provisions of ERISA.
Provide high level consultative services with stakeholders and ensure increased compliance with ERISA laws, rules, and regulations; perform broad functions to increase benefits for participants and beneficiaries; performs work to ensure the fulfillment and support of the Department of Labor's priorities, plans, goals, and initiatives.
Independently research issues and prepare materials such as outlines, speeches, slide presentations, and talking points for the Chief and the Director of Enforcement. The incumbent develops written guidance and training materials and presents training related to ERISA enforcement changes, processes, and policies.
Requirements
- Must be at least 16 years old.
- Must be a U.S. Citizen.
- Candidate required to obtain the necessary security/investigation level.
- Requires a probationary period if the requirement has not been met.
- Driver's License is desirable but not required.
Qualifications
You must meet the "Specialized Experience" to qualify for the Employee Benefits Investigator, as described below.
GS-13 level: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level GS-12 in the Federal Service.
Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level.
Specialized experience for this position includes:
1. Duties and responsibilities that are related to the health care industry and health and welfare benefit plans.
2. Proficient technical experience working with provisions of Part 7 of ERISA, including Mental Health Parity and Addiction Equity Act (MHPAEA) and Non-Quantitative Treatment Limitations (NQTLs), in order to analyze plan regulatory compliance and develop recommendations for corrective actions, litigation, or prosecution.
3. Experience reviewing and analyzing NQTL comparative analyses and supporting documents.
4. Experience reviewing and analyzing claims data.
5. Proficiency in Microsoft Excel.
Education
There is no substitution of education for experience at the GS-13 level for this position.
Contacts
- Address Employee Benefits Security Administration, Regional Offices
200 Constitution Avenue NW
Washington, DC 20210
US
- Name: Leslie Carey
- Phone: 312-353-0507
- Email: [email protected]
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