Special Claims Desk Investigator

Great American Insurance Group; Myrtle Point (OR); Remote; USD 65,000 - 77,000; Full time

Job summary

A leading insurance firm is seeking a Special Claims Desk Investigator to conduct investigations into potential insurance claims fraud. The role requires 3-6 years of relevant experience in Criminal Investigation or Fraud Detection. The position is fully remote and offers a competitive salary range of $65,000 to $77,000, along with comprehensive benefits including health insurance and a 401(k) plan.

Benefits

Medical, dental, and vision plans

401(k) plan with company match

Education reimbursement

Paid parental leave

Qualifications

• 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection.
• Professional designation preferred (Certified Fraud Examiner, Private Investigator license).

Responsibilities

• Conduct specific investigations for claims cases.
• Investigate all suspect fraud referrals.
• Prepare investigation reports and recommend actions to management.

Skills

Criminal Investigation

Fraud Detection

Report Preparation

Data Analysis

Education

Bachelor’s Degree or equivalent experience

Job description

Overview

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

Great American's Special Investigation Unit (SIU) stands to prevent, detect and investigate instances of potential insurance claims fraud, collaborating with business units in the proper handling and required reporting of fraudulent claims while exhibiting high professional standards of conduct.

Our Special Investigation Unit is looking for a Special Claims Desk Investigator to join their team. This individual will work fully remote in the United States.

Essential Job Functions and Responsibilities

• Conducts specific investigations for claims cases:
• Investigates all suspect fraud referrals.
• Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
• Identifies trends and patterns of suspected fraudulent activity.
• Personally handles field investigations or assigns field work (i.e., surveillance, statements, etc.) to independent investigation firms.
• Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.

• Prepares investigation reports and detailed comprehensive reports. Evaluates claims and recommends courses of action to management.
• May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
• May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
• May provide guidance to less experienced staff and serve as a resource to other functional areas.

• Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations:
• May participate in identifying enhancements to improve performance and functionality of technology applications.
• May participate in testing the application.

• Performs other duties as assigned.

Job Requirements

• Education: Bachelor’s Degree or equivalent experience.
• Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
• Experience: Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience. Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.

This job is non-exempt in California and Washington

Business Unit

Corporate Claims

Salary Range

$65,000.00 -$77,000.00

Benefits

Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.