State of Maryland

CLAIMS INVESTIGATOR IV (#002014)

- Hourly / - BiWeekly /
- Monthly / $35,078.00-$55,270.00 Yearly


GRADE

12

CLASS ATTRIBUTES

SKILLED SERVICE      BARGAINING UNIT: C      OVERTIME ELIGIBLE     

NATURE OF WORK

A Claims Investigator IV is the supervisory level of specialized investigative work in the casualty insurance and criminal injuries compensation claims field.  This work involves the investigation of accident claims resulting from injuries incurred by employees during course of employment or criminal injuries compensation claims resulting from personal injuries or death as a result of the commission of a crime.  Employees in this classification supervise lower-level Claims Investigators.

Employees in this classification receive general supervision from a higher-level administrator.

Positions in this classification are evaluated using the classification job evaluation methodology.  The use of this method involves comparing the assigned duties and responsibilities of a position to the job criteria found in the Nature of Work and Examples of Work sections of the class specification.

The Claims Investigator IV is differentiated from the Claims Investigator III in that the Claims Investigator IV has supervisory responsibility for lower-level Claims Investigators while the Claims Investigator III performs the full range of duties and responsibilities under general supervision.

EXAMPLES OF WORK

Plans and directs field investigations of claims involving personal injury or death as a result of an accident or the commission of a crime;

Controls the assignment of investigations on a geographic basis;

Determines the scope of investigation on individual claims;

Evaluates the adequacy and quantity of investigations;

Trains lower-level investigators in interviewing, investigating and reporting techniques;

Advises Claims Investigators and/or Examiners on results of investigations;

Documents the claim file and recommends the subpoena of witnesses;

Advises of the details as to the type of testimony available through witnesses and obtains necessary written statements;

Performs other related duties.

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of the techniques of interviewing, investigating and reporting;

Knowledge of modern office methods, organization, management and operation;

Knowledge of the workers’ compensation or Criminal Injuries laws and standard reporting procedures;

Ability to supervise;

Ability to train lower-level investigators;

Ability to plan the scope of investigations;

Ability to evaluate the adequacy of investigations;

Ability to evaluate competence of witnesses;

Ability to maintain harmonious working relationships with the legal profession, medical profession, employees, employers and third parties;

Ability to gather and report facts and to communicate effectively;

Ability to work independently and to exercise discernment and judgment in handling of public contacts;

Ability to prepare complete, comprehensive and accurate reports;

Ability to develop information leads.

MINIMUM QUALIFICATIONS

Education:   Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Three years of experience in casualty, financial, credit, or administrative investigations; law enforcement or licensed detective work involving investigations; or the practice of law.

Notes:

1. Candidates may substitute thirty credit hours from an accredited college or university for each year of experience for up to two years of the required experience.

2. Candidates may substitute additional years of the above experience on a year-for-year basis for the required education.

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland.

ACKNOWLEDGEMENTS

Class specifications are broad descriptions covering groups of positions used by various State departments and agencies. Position descriptions maintained by the using department or agency specifically address the essential job functions of each position.

This is a Skilled Service classification in the State Personnel Management System. All positions in this classification are Skilled Service positions. Some positions in Skilled Service classifications may be designated Special Appointment in accordance with the State Personnel and Pensions Article, Section 6-405, Annotated Code of Maryland.

This classification is assigned to Bargaining Unit C, Regulatory, Inspection and Licensure classes. As provided by State Personnel and Pensions Article, Section 3-102, special appointment, temporary, contractual, supervisory, managerial, and confidential employees are excluded from collective bargaining. Additionally, certain executive branch agencies are exempt from collective bargaining and all positions in those agencies are excluded from collective bargaining.

Employees in this classification are eligible to receive overtime compensation. An employee who works more than the normal workweek is entitled to be compensated for that overtime as provided by State Personnel and Pensions Article, Section 8-305.  

Date Revised

April 13, 2018

Approved By

Director, Division of Classification and Salary

CLASS: 002014; EST: ; REV: 4/13/2018;

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