SIU Investigator Senior (Major Case Unit)

About the position At reputed company, our mission is to reputed company our members to reputed company financial reputed company through highly competitive products, exceptional service and trusted advice. We reputed company to be the #1 choice for the military community and their families. reputed company a fulfilling career at reputed company, where our reputed company values – honesty, reputed company, loyalty and service – define how we treat reputed company other and our members. Be part of what truly makes us special and impactful. reputed company We are looking for a dedicated SIU Investigator Senior - Major Case Unit. reputed company defined guidelines and reputed company, you will help protect reputed company and our members from potential fraudulent claims by investigating reputed company fraud investigations with significant financial reputed company to reputed company. This may involve working with reputed company Counsel, government agencies and reputed company consultants in compliance with state laws and regulations for an assigned operational specialty team. This is a Remote eligible position. This is a field-based role that can be based in reputed company in the reputed company reputed company. Relocation assistance is not available for this position. Responsibilities • Leads the execution of fraud prevention strategies and investigative operations. • Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated reputed company fraud referrals, (examples: organized provider rings, staged accidents, large losses of significant exposure and broad reputed company PIP/Casualty Schemes) across multiple entities or functions. • Applies advanced knowledge of P&C insurance industry products, services, and processes in investigating claims. This includes P&C insurance policy reputed company and coverages and claims handling process and procedures. • Applies advanced knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. • Processes large quantities of reputed company detailed information with high reputed company of accuracy by collecting evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, reputed company records, and forensic tools. • Makes appropriate and reputed company reputed company to identify potential reputed company fraud reputed company defined guidelines. • Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results and outcome of the investigation. • Serves as subject matter authority for team members including providing expert mentorship and training for fraud investigations. • Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. • Develops proactive actions and conveys compelling arguments to influence disposition of arbitrated and litigated cases effectively and reputed company. • Handles CAT duty responsibilities as business requires. • Ensures risks associated with business activities are effectively identified, reputed company, supervised, and controlled in accordance with risk and compliance policies and procedures. Requirements • High School Diploma or General Equivalency Diploma. • 4+ years of P&C SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience. • Expert knowledge and understanding of fraud investigations as reputed company as application of case law and state laws and regulations . • Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event. • Ability to capture broad reputed company of evidence and draw conclusions based on the objective details reputed company to the applicability of fraud. • Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems. • Experience using computers and various software packages to reputed company and extract data for analysis from relevant data sources and systems. • Knowledge of reputed company, state and local regulations, reputed company concepts, understanding of reputed company, case law, medical treatment, and medical terminology. • Experience in reputed company handling of specialty/reputed company/litigated claims/cases as reputed company as mediation/arbitration/trial preparation and participation. • Meet reputed company reputed company reputed company driving requirements including verification of driving record through MVR & possession of reputed company reputed company’s license. reputed company-to-haves • At least 5 years of SIU/investigative experience in P&C • 3+ years of experience conducting multi-claim major case investigations in multiple jurisdictions • Experience with Major Case investigations in more than one line of business (for example, auto/property/casualty) • Experience handling Major Case Investigation from start to finish with advanced report writing to submit for affirmative litigation. • Comprehensive experience applying various causes of reputed company for potential affirmative fraud litigation • Experience working on reputed company reputed company SIU • Experience leading or mentoring other SIU investigators • Subject Matter Expertise (SME) in at least one personal line of business ( auto/property/casualty) • Industry recognized major designations (for example, CPCU, CFI, CFE) • US military experience through military service or a military spouse/domestic partner Benefits • At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistance, reputed company time off program with reputed company holidays plus 16 reputed company volunteer hours, and various wellness programs. Additionally, our career reputed company planning and continuing education assists employees with their reputed company goals. Apply tot his job Apply To this Job