Senior Fraud Investigator: Major Case & Forensic Claims

American Bankers Insurance Company of Florida; Florida; Hybrid; USD 65.000 - 108.000; Vollzeit

Zusammenfassung

Assurant seeks a Senior Special Investigator to protect company assets by identifying fraudulent claims and guiding investigations. The role conducts complex interviews, leads major cases, and applies expert understanding of P&C policies and fraud laws.

Ideal candidates have extensive SIU experience, Florida knowledge, and strong communication across internal and external partners. Travel and collaboration with a broad network are expected.

Qualifikationen

• 10+ years of P&C SIU/Fraud investigation experience or relevant fraud industry investigation experience, or at least 10 years prior law enforcement investigative experience/detective rank.
• Knowledge of Florida Property Fraud preferred.
• Bachelor’s Degree in Criminal Justice or relevant work experience desired.
• CFE/CIFI/FCLS designations a plus.
• Field Investigation experience.
• Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
• Demonstrated ability to manage relationships with both internal and external customers.
• Demonstrated ability to work effectively independently and within a collaborative team-oriented environment using sound judgment in decision-making.
• Excellent communication skills both oral and written skills with strong analytical skills.
• Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and claims related software programs.
• Must be a results-oriented, skilled investigator with experience taking complex statements from multiple parties to an event.
• Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
• Proven ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
• Must be able to handle high volume of investigations and remain timely on status reports.
• Ideal candidate will reside in Florida.

Aufgaben

• Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision.
• Conducts complex recorded interviews and investigations in an effort to validate a claim or identify persons or organizations that are involved in suspicious related activities.
• Leads high exposure, high profile and sensitive work assignments, and special investigations involving complex specialized fraud referrals across multiple entities or functions—Major Cases.
• Applies advanced knowledge of P&C insurance industry products, services, and processes in investigating claims.
• Applies advanced knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
• Maintains assigned claims files in confidential manner and ensures that all relevant facts pertaining to the files are documented in the appropriate claims handling system.
• Initiates referrals to State Insurance Department, Fraud bureaus and NICB when a suspicious or fraudulent activity has been identified.
• Initiates civil/criminal actions based on investigative outcomes.
• Testifies at depositions, hearings, and trials.
• Develops and maintains a rapport with local information networks to include law enforcement, vendors, and industry experts.
• Handles budgeting and directs outsourced investigations to vendor partners.
• Acts as a resource to other Special Investigators.

Kenntnisse

Fraud investigation

Interviewing

Analytical thinking

Communication skills

Teamwork

Ausbildung

Criminal Justice degree

Bachelor's degree

Tools

Microsoft Office

Excel

PowerPoint

Word

Jobbeschreibung

Assurant seeks a Senior Special Investigator to protect company assets by identifying fraudulent claims and guiding investigations. The role conducts complex interviews, leads major cases, and applies expert understanding of P&C policies and fraud laws.

Ideal candidates have extensive SIU experience, Florida knowledge, and strong communication across internal and external partners. Travel and collaboration with a broad network are expected.