Fraud Investigator IV

State-of-Hawai; Hawaii; On-site; USD 70,000 - 95,000; Full time

Job summary

The State of Hawaii, Department of Commerce and Consumer Affairs, Insurance Division, Insurance Fraud Investigations Branch, seeks an investigator to conduct statewide investigations of fraud in insurance claims. The role emphasizes initial case assessment, plan development, evidence gathering, and collaboration with attorneys.

Requirements include a bachelor’s degree and at least 2.5 years of criminal investigative experience, with insurance fraud experience preferred.

Qualifications

• Graduation from an accredited college or university with a bachelor’s degree.

Responsibilities

• Initial case assessment and development of an investigative plan.
• Gathering and preserving evidence, preparing reports, and assisting attorneys.
• Prosecutorial support across all phases of investigation and prosecution.
• Responding to inquiries related to the branch’s functions.

Skills

Criminal investigation

Investigative writing

Interviewing techniques

Financial analysis

Public interaction

Education

Bachelor's degree

Job description

This posting is for the State of Hawaii, Department of Commerce and Consumer Affairs, Insurance Division, Insurance Fraud Investigations Branch.

The position is located on Oahu (Downtown Honolulu).

Salary commensurate with education and experience.

If you have any questions regarding this non-civil service exempt position, please send an email to Mr. Ryan Shinsato at [e-mail].

The State Recruiting Office will refer all inquiries regarding this exempt position to the Department of Commerce and Consumer Affairs.

Branch Responsibilities

The function of this organizational branch is to conduct investigation and prosecution on a statewide basis of cases involving fraudulent insurance claims. The branch is responsible for intake and investigation of cases referred to it and for prosecution of those cases where appropriate. The branch is also responsible for responding to inquiries relating to its functions.

Investigative Duties

The investigator will be primarily responsible for initial case assessment, development and execution of an investigative plan, including gathering and preserving evidence, preparing reports and assisting the attorney assigned to the case with all phases of prosecution.

Education

Graduation from an accredited college or university with a baccalaureate degree. Excess experience may be substituted for education on a year-for-year basis provided that the incumbent shows sufficient skills and ability to perform the duties and responsibilities.

Experience

Minimum two and a half (2.5) years criminal investigative experience to include writing clear and comprehensive reports, reading and interpreting complex written material, interpreting and applying statutes and rules; perform research, dealing with the public. Experience in the investigation of insurance fraud preferred.

Knowledge

Knowledge of clear investigative writing, interviewing methods and techniques. Knowledge and understanding of basic insurance principles and practices preferred.

Skills / Abilities

Ability to develop and execute criminal investigative plan that includes case assessment, gathering and analyzing facts, interviewing witnesses, and gathering and preserving evidence; interpreting and analyzing financial information; communicating clearly and precisely interpretation of analytical data; interpreting laws, rules, regulations; deal effectively and independently with the public.

Legal Authorization to Work Requirement

The State of Hawaii requires all persons seeking employment with the government of the State shall be citizens, nationals, or permanent resident aliens of the United States, or eligible under federal law for unrestricted employment in the United States.

This position is exempt from the civil service and considered temporary in nature. Therefore, if you are appointed to the position, your employment will be considered to be "at will," which means that you may be discharged from your employment from the department head or designee at any time.