Senior Investigative Officer

New York State Insurance Fund (NYSIF); New York (NY); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Up to 50% telecommuting

Exempt civil service position

Job summary

The New York State Insurance Fund (NYSIF), Division of Confidential Investigations (DCI), seeks a Senior Investigative Officer to conduct workers' compensation fraud investigations across New York State. You will handle confidential matters, build evidence, perform surveillance, and develop case referrals for prosecutors and NYSIF counsels.

Responsibilities include managing caseloads, interviewing witnesses, gathering financials, and preparing clear reports.

Qualifications

• A minimum of 10 years of full-time law enforcement experience focused on white collar, economic crime, insurance fraud or related investigations.
• Experience conducting in-depth investigations involving financial records, organized fraud schemes, or multi-jurisdictional activity.
• Proven ability to lead or support investigations from intake to prosecution, including case development, evidence collection, interviews, reports, and testimony.

Responsibilities

• Manage an assigned caseload involving suspected workers' compensation fraud, waste, and abuse across the state.
• Gather, review, and analyze documentary evidence from varied sources relevant to investigations.
• Conduct database and public-records research on individuals, entities, and leads.
• Plan and conduct investigative activities including interviews, affidavits, and evidence collection.
• Coordinate surveillance to gather and preserve evidence at relevant locations.
• Prepare investigative reports and referral packages for review by leadership and prosecutors.
• Support legal proceedings with hearings, grand jury, trials, and board proceedings.

Skills

White collar crime

Economic crime

Insurance fraud

Investigations leadership

Job description

Duties Description
The New York State Insurance Fund (NYSIF), Division of Confidential Investigations (DCI), is among the most active special investigations units in the country, working with local, state, and federal authorities in the investigation, arrest, indictment, and prosecution of individuals and businesses suspected of fraud involving NYSIF. DCI's mission is to reduce instances of insurance fraud and abuse against NYSIF and to prevent and mitigate fraud. DCI is comprised of four separate units: Claims Fraud, Provider Fraud, Premium Fraud, and Data Analytics.

Description
Duties Description
The New York State Insurance Fund (NYSIF), Division of Confidential Investigations (DCI), is among the most active special investigations units in the country, working with local, state, and federal authorities in the investigation, arrest, indictment, and prosecution of individuals and businesses suspected of fraud involving NYSIF. DCI's mission is to reduce instances of insurance fraud and abuse against NYSIF and to prevent and mitigate fraud. DCI is comprised of four separate units: Claims Fraud, Provider Fraud, Premium Fraud, and Data Analytics.
Reporting through the Fraud Team supervisory chain, the Senior Investigative Officer will serve as an experienced investigator responsible for conducting workers' compensation fraud investigations involving claimants throughout the state.
The Senior Investigative Officer handles confidential and sensitive matters, manages an assigned caseload, develops evidence, conducts surveillance and interviews, prepares investigative reports, and supports referrals to prosecutors, NYSIF Legal, and NYSIF civil attorneys. The position may provide peer support, onboarding assistance, or practical investigative guidance to less experienced investigators.
Responsibilities Include, But Are Not Limited To

• Manage an assigned investigative caseload involving suspected workers' compensation fraud, waste, and abuse by claimants, providers or policyholders throughout the state.
• Gather, review, and analyze documentary evidence from NYSIF departments, private investigator reports, police reports, payroll records, business records, medical records, financial records, policyholder records, and other sources relevant to the investigation.
• Conduct database and public-records research involving individuals, corporations, liens, addresses, property ownership, social media activity, and other relevant investigative leads.
• Plan and conduct investigative activities, including interviews, witness contact, affidavit development, and the collection of documentary evidence related to concealed employment or other suspected fraudulent activity.
• Use appropriate foot, stationary, and vehicle surveillance techniques to gather and preserve evidence at worksites, private residences, businesses, medical offices, and other relevant locations.
• Prepare clear, accurate, and well-supported investigative reports, surveillance summaries, evidence summaries, and referral packages for review by DCI leadership, prosecutors, NYSIF Legal, or NYSIF civil attorneys.
• Assist with case referrals and follow-up by responding to requests for additional information from prosecutors, NYSIF Legal, or agency stakeholders.
• Support legal proceedings when needed, including preparation for hearings, grand jury presentations, trials, Workers' Compensation Board proceedings, and testimony.
• Coordinate professionally with NYSIF departments, law enforcement partners, prosecutors, insurance fraud officials, and other external stakeholders as appropriate to support case development and fraud prevention.
• Apply knowledge of workers' compensation law, fraud indicators, investigative techniques, and evidentiary requirements to develop complete and referral-ready investigations.
• Participate in team meetings, training, and professional development opportunities to remain current on fraud trends, investigative tools, legal developments, and DCI procedures.
• Assist the Investigative Officer 3, Team Supervisor, and other DCI leadership with project-specific or case-specific assignments as directed.
• Provide peer support, onboarding assistance, and practical investigative guidance to IO1 staff or less experienced investigators as assigned, without exercising formal supervisory authority.
• Interact professionally with all levels of NYSIF staff and management while handling confidential and sensitive investigative matters.
  

Qualifications
Minimum Qualifications

• A minimum of 10 years of full-time law enforcement experience at the federal, state, or local level, with a demonstrated focus on white collar crime, economic crime, insurance fraud, or other complex criminal investigations, and;
• Documented experience in conducting in-depth investigations involving financial records, organized fraud schemes, or multi-jurisdictional criminal activity, and;
• Proven ability to lead or support investigations from intake to prosecution or resolution, including case development, evidence collection, interviews, report writing, and courtroom testimony.
  

As this position requires frequent travel, you are required to maintain a valid driver’s license while employed in this position.
Please be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position. NYSIF is not currently enrolled in eVerify, which is a requirement for certain types of employment verifications.
Preferred Qualifications

• Prior experience with criminal investigations, insurance fraud investigations, workers' compensation fraud, economic crime, or related matters.
• Familiarity with investigative databases, public-records research, social media research, and intelligence-gathering tools.
• Experience preparing investigative reports, legal referrals, evidence summaries, or case materials for prosecutors, attorneys, or administrative proceedings.
• Experience testifying or assisting with testimony preparation for criminal, civil, administrative, or Workers' Compensation Board proceedings.
• Ability to manage a caseload independently while working within a structured supervisory chain and following DCI procedures.
• Ability to provide professional peer support or onboarding assistance without exercising formal supervisory authority.
  

Additional Comments

• Telecommuting: Subject to NYSIF’s telecommuting program approval process, this position may offer up to 50% telecommuting
• Jurisdictional classification: *Exempt
• Official Civil Service title: Investigator 1
• Salary within the posted range will be commensurate with experience. Please note, NYSIF does not offer bonus programs as part of our compensation program
• Candidate must be a New York State resident or be willing to relocate
• All exempt appointments require completion of a background check by the NYS Governor’s Office of Appointments prior to appointment and completion of an annual Financial Disclosure Statement upon appointment offer.
  

As this position is not tenure-bearing, except under specific circumstances, the employment relationship can be altered at any time by either the incumbent or the appointing authority.
Please note, the salary range displayed includes special salary treatments, such as location pay.