Employee Benefits Investigator Jobs

Duties

Major duties include but are not limited to:

Plans, leads, and conducts complex and, often, multifaceted civil and criminal investigations of large and varied employee benefit plans, health insurers and other service providers, trust departments, and other financial entities having relationships and conducting transactions with the plans. Investigations conducted require extensive planning and coordination and the development of innovative approaches. They are typically complicated by the scope of the investigation, the complex organizational and financial relationships and systems of the multiple entities involved, economic and/or political sensitivities, incomplete or complex accounting and financial management records, the presence of multiple violations, and complex and unresolved legal issues, and the involvement of several jurisdictions or states. Plans and assigns work, coordinates investigations and related activities/projects, monitors project status and progress, identities, and solves problems that arise.

Determines areas of coverage for each investigation and the general investigative approaches to be taken. This includes delineating: objectives and scope of the investigation, resources and time required for completion, issues to be investigated, and statutory sections believed to be violated, references to relevant interpretations and regulations, required elements of proof, records to be reviewed, interviews to be conducted, information and documentation to be collected, and, as necessary, subpoenas to be prepared.

Ensures review of plan administrative operations and financial control systems, financial data, and appropriate records, reports, and other documents. Conducts, or oversees the conduct of interviews to determine the fiduciary conduct of officials associated with the plan, the prudence of financial investments, and the propriety of specific transactions. Determines if the plan is administered and operated solely in the interest of the participants and accordance with the provisions of ERISA.

Analyzes and determines the impact of identified transactions or situations on plan operations and the present and future financial status of the plan. Requires analysis and the application of technical regulations to health plan documents, as well as the ability to review health plan claims data to ensure compliance with several health regulations.

Develops and prepares, or coordinates the preparation of, comprehensive and well-documented reports, work papers, and analyses that present findings, cite applicable ERISA violations and related statutes/regulations, and substantiate conclusions. Develops recommendations for voluntary compliance, referral for litigation, case-closing, or other courses of agency action.

Works closely with other EBSA investigators, auditors, and managers within the immediate office and across the Agency. Initiates and conducts conferences and meetings with plan officials and/or their legal and financial representatives. Provides litigation support to, and works closely with legal staff.

Requirements

Conditions of Employment

• Driver's License is desirable but not required.
• Appointment to this position may require a background investigation.
• Requires a probationary period if the requirement has not been met.
• Must be at least 16 years old and a U.S. Citizen.

Applicants must meet all legal and regulatory requirements. Reference the "Required Documents" section for additional requirements.

Notification Concerning COVID-19 Vaccinations. As required by Executive Order 14043, Federal executive branch employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be vaccinated against COVID-19 and to submit documentation of proof of vaccination or to be in the process of requesting an exception to the vaccination requirement before appointment or onboarding with the agency. The agency will provide additional information regarding which forms of documentation can be accepted and how you can request to be considered for a legally required exception from this requirement.

Currently, implementation and enforcement of Executive Order 14043 has been suspended pursuant to an injunction pending further litigation.

How You Will Be Evaluated

• Fair and Transparent

  The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

  • Equal Employment Opportunity (EEO) Policy
  • Reasonable accommodation policy
  • Financial suitability
  • Selective Service
  • New employee probationary period
  • Signature and false statements
  • Privacy Act
  • Social security number request
• Signature and false statements
• Selective Service
• Social security number request
• Displaced Employee Placement Documents – Only required if requesting priority consideration under CTAP or ICTAP eligibility.
• New employee probationary period
• Equal Employment Opportunity (EEO) Policy
• Cover Letters are not mandatory and will not be used to verify experience, but may be submitted.
• How to Apply To apply for this position, you must complete the initial online application, including submission of the required documentation specified in the "Required Documents" section. Follow the steps below to apply. Your application and ALL required supplemental documents MUST be received by 11:59 pm Eastern Time (ET) on the vacancy closing date to receive consideration. Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered. Click here for information on Reasonable Accommodations. SAVE your information before the 30 MINUTE TIMEOUT! For help, go to USAJOBS Help Center. STEP 1 - Create USAJOBS Account on www.usajobs.gov, including Resume and Saved Documents Your resume must provide sufficient information to substantiate your responses to the self-assessment vacancy questions. If not, HR may amend your responses to more accurately reflect the competency indicated by resume content. FOR EACH EMPLOYMENT PERIOD, include: start/end month & year and note full-time or part-time (if part-time, include # of hours worked per week); otherwise, your application may be considered incomplete. STEP 2 - Complete the 1st part of the application process (USAJOBS) Once you have identified a job on USAJOBS that you wish to apply for, click on the title and click the "Apply" button. For questions about the vacancy, contact the Agency Contact at the bottom of the announcement. Click “Start Application” and proceed through the 5 steps noted at the top of the USAJOBS page. You will be able to select a resume and documents from your USAJOBS Account that you can submit as a package as part of your DOL application. At Step 5, click “Continue to Agency Site”. STEP 3 – Complete the 2nd part of the application process (DOL) On the Department of Labor (DOL) page, create a DOL Account if you have not already and click “APPLY TO THIS VACANCY”. Continue through the 7 progress steps indicated by circles at the top of the DOL page. The 3rd progress step is where you answer the vacancy specific questions. The 4th progress step "Documents" is where you submit required documents (only if applicable to you) specified in the "Required Documents" section of this vacancy. If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. STEP 4 – On the “Review and Submit” step, click “Submit Application” The last “Confirmation” step will turn green noting that your application was submitted successfully. STEP 5 - Edit Application as needed by 11:59 pm ET of Closing Date by returning to USAJOBS, clicking the vacancy, then “Update Application”. Agency contact informationRegina ParuszkiewiczPhone 415-625-2387TDD 711Email [email protected] Labor, Employee Benefits Security Administration Chicago Staffing Service Center San Francisco, California 94103 United StatesNext steps Once your complete application is received, we will conduct an evaluation of your qualifications and refer candidates for selection consideration. Candidates will be referred to the hiring manager for further consideration and possible interview. You will be notified of the outcome. A selection is expected to be made within 30 calendar days from the issuance date of the certificate. For instructions on how to check the status of your application, go to: USAJOBS Help Guide. USAJOBS will no longer send status email notifications. You can check your application status in the TAS by logging into USAJOBS and in the Applicant Dashboard, click the hiring agency Talent Acquisition System (TAS). If the TAS does not provide application tracking information, contact the agency point of contact on the job announcement.
• Reasonable accommodation policy
• Privacy Act
• Financial suitability
• BenefitsA career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
• Veterans Documents (if applicable): To be considered as a 5-point preference eligible, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD214. Your DD-214 must show the type of discharge and dates of active duty. To claim 10-point preference, you must submit a copy of your DD214; an Application for 10-point Veteran's Preference, SF15; and the proof of entitlement of this preference which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability (For active duty service members expecting honorable or general discharge or release within 120 days, click Active Duty). Without this documentation, you will not receive veteran's preference. For more information, go to https://www.fedshirevets.gov.

• Required Documents

  As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

  The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. You are not required to submit a document if it does not apply to you. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password-protected documents.

  - Resumes are required - provide a resume either by creating one in USAJOBS or uploading one from your profile. To receive full consideration for relevant and specialized experience, please list the month, year, and the number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions, and confirm that your resume supports your question responses.

  • Veterans Documents (if applicable): To be considered as a 5-point preference eligible, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD214. Your DD-214 must show the type of discharge and dates of active duty. To claim 10-point preference, you must submit a copy of your DD214; an Application for 10-point Veteran's Preference, SF15; and the proof of entitlement of this preference which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability (For active duty service members expecting honorable or general discharge or release within 120 days, click Active Duty). Without this documentation, you will not receive veteran's preference. For more information, go to https://www.fedshirevets.gov.

  • Displaced Employee Placement Documents – Only required if requesting priority consideration under CTAP or ICTAP eligibility.

  • Cover Letters are not mandatory and will not be used to verify experience, but may be submitted.

  Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship, and the E-Verify system will be used to confirm the employment eligibility of all new hires.

Required Documents

Clarification from the agency

Open to the public. Also open as job #MS-23-CHI-EBSA-0265 for status applicants, VEOA eligible, Military Spouse and ICTAP/CTAP in commuting area. To be considered for each vacancy, apply to BOTH jobs.