Remote SIU Manager: Lead Fraud Investigations

West Bend Mutual Insurance Company; West Bend (WI); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical & Prescription Insurance

Health Savings Account

Dental Insurance

Vision Insurance

Short and Long Term Disability

401(k) Plan with Company Match

Paid Time Off

Bonus eligible

Job summary

West Bend Mutual Insurance Company seeks a seasoned SIU Manager to lead the Special Investigations Unit, directing investigators and advancing fraud detection and prevention. The role oversees high‑risk cases, ensures regulatory compliance, and partners with cross‑functional teams to safeguard the company and customers.

The ideal candidate has 7+ years in insurance investigations, 3+ years in leadership, and professional fraud certifications.

Qualifications

• Bachelor's degree in Criminal Justice, Business, Risk Management, Analytics, or related field.
• At least one professional certification (CIFI, CFE, FCLS, FCLA) required; multiple certifications preferred.
• 7+ years in insurance investigations, fraud detection, or SIU operations; 3+ years in a leadership role.

Responsibilities

• Oversee the day-to-day SIU operations and ensure investigative standards.
• Lead complex, high-exposure, multi-jurisdictional fraud cases.
• Review and approve investigative actions and outcomes.
• Mentor investigators and supervisors; develop talent and training.
• Collaborate with Claims, Legal, Compliance, Analytics to strengthen fraud controls.

Skills

Insurance investigations

Fraud detection

Leadership

Cross-functional collaboration

Education

Bachelor's degree in Criminal Justice, Business, Risk Management, Analytics, or related field

Professional certifications (CIFI, CFE, FCLS, FCLA)

Tools

Case management systems

Fraud analytics tools

Job description

West Bend Mutual Insurance Company seeks a seasoned SIU Manager to lead the Special Investigations Unit, directing investigators and advancing fraud detection and prevention. The role oversees high‑risk cases, ensures regulatory compliance, and partners with cross‑functional teams to safeguard the company and customers.

The ideal candidate has 7+ years in insurance investigations, 3+ years in leadership, and professional fraud certifications.