Senior Insurance Fraud Investigator

The State of New Hampshire; Concord (NH); On-site; USD 49,000 - 70,000; Full time

Job summary

The State of New Hampshire is seeking a Senior Fraud Examiner to lead complex fraud investigations across insurance sectors and related entities. This role requires deep knowledge of insurance and regulatory requirements and the ability to supervise a team of examiners and investigators.

The Senior Fraud Examiner will prepare final reports, present findings, and coordinate with counsel, regulators, and stakeholders. Travel and out-of-state work may be needed to fulfill examinations.

Qualifications

• Bachelor's degree and 7 years of experience, or equivalent combination of 11 years education/experience after high school.
• Valid driver’s license or access to transportation.

Responsibilities

• Functions as the senior examiner on high-level complex fraud cases.
• Assigns tasks and reviews work of examiners/investigators.
• Provides technical expertise in NH statutes, regulations, and insurance examination practices.
• Supervises junior examiners or investigative staff and allocates work.
• Teaches on-the-job training to trainees and staff.
• Prepares examination reports with findings and recommendations; can testify at hearings.

Skills

Certified Fraud Investigator

Certified Fraud Examiner

Insurance law knowledge

Accounting knowledge

Regulatory knowledge

Report writing

Education

Bachelor's degree + 7 years experience OR 11 years education/experience

Job description

The State of New Hampshire is seeking a Senior Fraud Examiner to lead complex fraud investigations across insurance sectors and related entities. This role requires deep knowledge of insurance and regulatory requirements and the ability to supervise a team of examiners and investigators.

The Senior Fraud Examiner will prepare final reports, present findings, and coordinate with counsel, regulators, and stakeholders. Travel and out-of-state work may be needed to fulfill examinations.