Senior Fraud Investigator: Major Case Leadership

Assurant; Tallahassee (FL); On-site; USD 65,000 - 108,000; Full time

Job summary

Assurant seeks a Senior Special Investigator to protect assets by avoiding fraudulent payments and gathering evidence via field and remote interviews. You will manage high-exposure cases, review medical and financial records, and coordinate with law enforcement and NICB to ensure compliant resolutions.

The role demands 10+ years in P&C SIU/fraud or law enforcement, Florida fraud knowledge, and a degree in Criminal Justice.

Qualifications

• 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
• 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

Responsibilities

• Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision
• Conducts complex recorded interviews and investigations to validate claims or identify involved parties
• Leads high exposure, high profile investigations across multiple entities or functions
• Applies advanced knowledge of P&C insurance products, services, and processes in investigating claims
• Processes large quantities of unstructured information to collect evidence of potential fraud
• Maintains confidential claims files and documents relevant facts in the claims system
• Initiates referrals to State Insurance Department, Fraud bureaus and NICB
• Initiates civil/criminal actions based on investigative outcomes
• Maintains investigative databases
• Assist SIU Manager with Claims Assignment
• Requests and may conduct Examinations under Oath or sworn statements
• Reviews medical records, reports and billing in relation to loss investigations
• Testifies at depositions, hearings, and trials
• Develops relationships with law enforcement, vendors, and industry experts
• Handles budgeting and directs outsourced investigations to vendors

Skills

Fraud investigation

P&C insurance

Interviewing skills

Field investigations

Communication skills

Time management

Independent and teamwork

Microsoft Office

Education

Bachelor’s degree in Criminal Justice

CFE/CIFI/FCLS designations a plus

Job description

Assurant seeks a Senior Special Investigator to protect assets by avoiding fraudulent payments and gathering evidence via field and remote interviews. You will manage high-exposure cases, review medical and financial records, and coordinate with law enforcement and NICB to ensure compliant resolutions.

The role demands 10+ years in P&C SIU/fraud or law enforcement, Florida fraud knowledge, and a degree in Criminal Justice.