Senior Long Term Care Investigator

Manulife John Hancock; United States; Remote; USD 92,000 - 160,000; Full time

Job summary

Manulife John Hancock in the United States seeks a Senior Investigator to independently plan and conduct complex long-term care investigations and oversee third-party surveillance vendors. You will interview insureds, caregivers, and other involved parties, review documents, and provide objective reports.

The role requires five years in investigations, a Criminal Justice-related degree, and potential professional designations.

Qualifications

• Bachelor's degree in Criminal Justice or related field; graduate work a plus
• Five or more years of experience in investigation and/or financial services
• Designations/certifications in relevant subject areas a plus (CFE, LTCP, LOMA)

Responsibilities

• Plan and conduct high-quality long-term care investigations
• Independently develop and execute investigative plans
• Interview insureds, caregivers and other parties
• Manage third-party vendors conducting surveillance
• Produce well-written objective reports
• Present findings and recommendations to management and Requesters
• Use internal case management systems to track progress
• Meet departmental, company and regulatory timelines

Skills

Investigation expertise

Interviewing skills

Analytical skills

Communication skills

Organizational skills

Presentation skills

Language skills

Education

Bachelor's degree in Criminal Justice or related field

Graduate work

Professional designations (CFE, LTCP, LOMA)

Tools

Microsoft Office

Case management systems

Documentation tools

Job description

The Senior Investigator independently plans and conducts complex long-term care investigations and oversees investigative activities performed by third party surveillance vendors.

Key Responsibilities

• Successfully completes high-quality, complex long term care claims investigations
• Independently develops and executes a thorough investigative plan
• Obtains and reviews internal / external documents to support investigative activity and findings
• Conducts interviews of insureds, caregivers, and other involved parties
• Manages third party vendor(s) conducting long term care surveillance activities
• Regularly communicates findings and investigation status to Requesters
• Produces well-written reports that are accurate, concise, and objective
• Present case findings and recommendations for further action to department management and Requesters
• Effectively utilizes internal case management systems to keep department management updated and to plan / prioritize concurrent assignments
• Adheres to departmental, company and regulatory timelines, policies, and requirements
• When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as required
• Ability to travel on short notice and responds to urgent long term care claim investigations
• Maintains knowledge of advanced investigative techniques, company / external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics
• Maintains and continuously expands network of professional contacts
• Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations

Required Qualifications

• Bachelor's degree preferably in Criminal Justice or related field required; graduate work a plus
• Five (5) or more years of experience in the investigation profession and/or financial services industry
• Designations / certifications in relevant subject matter areas a plus (CFE, LTCP, LOMA)

Skills / knowledge

• Highly proficient in various computer applications (Microsoft products etc.)
• Advanced written and verbal communication skills
• Advanced analytical skills
• Advanced interviewing skills
• Ability to work in a dynamic environment
• Efficient and effective organizational skills
• Strong presentation skills
• Foreign language proficiency a plus

When you join our team:

• We'll empower you to learn and grow the career you want.
• We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
• As part of our global team, we'll support you in shaping the future you want to see.

#LI-Remote

The role being advertised is an existing vacancy.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html .

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [e-mail] .

Referenced Salary Location

USA, New Jersey - Full Time Remote

Working Arrangement

Remote

Salary range is expected to be between $92,475.00 USD - $160,290.00 USD

Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of t