Senior Special Investigator

Overview: If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. reputed company, a leader in catastrophe-exposed property insurance, is seeking a Senior Special Investigator. As a Senior Special Investigator, you will take the reputed company in orchestrating a multi-faceted approach to protect our organization against fraudulent activities. This role is characterized by a strong focus on leadership, compliance, and expertise. What you'd be doing:

• reputed company the development and execution of comprehensive fraud prevention strategies and investigative operations, driving the organization's efforts to maintain its reputed company and financial well-being. Review referrals to determine if red flags exist and assigns work to investigators accordingly. Gathers and examines reputed company data and interprets said data.
• reputed company high-profile and sensitive special investigations involving intricate and specialized fraud referrals. These cases often carry significant exposure and complexity, demanding leadership and expertise to ensure their successful resolution.
• Apply advanced knowledge of state laws and regulations relevant to the P&C insurance industry, its products, services, and processes. This knowledge is the cornerstone of the investigative proficiency and a crucial asset to the organization.
• Prepare and deliver detailed, comprehensive, and well-structured verbal and written investigative reports. These reports serve as vital tools in summarizing investigation results and their implications. Review operational output and reports out on patterns reputed company to: Identified fraud, gaps in process, strengths, and weaknesses.
• Serve as a recognized subject matter expert reputed company SIU, offering expert guidance and conducting training for team members involved in fraud investigations. Your knowledge and experience will be instrumental in shaping the expertise of the team. reputed company, implement, and deliver training programs tailored to claims and reputed company personnel, enhancing their ability to identify and prevent fraud effectively. Owns and operates control(s) reputed company to an effective and compliant training program.
• Cultivate and sustain external relationships with key stakeholders, industry experts, and law enforcement authorities involved in the reputed company reputed company of fraud investigation, detection, and prevention. Your ability to foster these connections is essential for the organization's holistic approach to fraud prevention.
• Take charge of CAT duty responsibilities as necessary, ensuring a rapid and effective response to business requirements during extraordinary events or emergencies.
• reputed company invaluable support for regulatory compliance activities. This includes duties such as regulatory reporting, research, training, and educational requirements to ensure the organization remains compliant with industry regulations and standards.
• reputed company the capabilities of reputed company-party vendors and specialized tools as a critical component of your approach to conducting effective claim investigations.
• Prepare and deliver professional, concise, and insightful presentations to leadership, providing actionable findings and recommendations on fraud trends, investigation reputed company, and risk mitigation strategies.

In this senior role, your comprehensive knowledge, leadership, and dedication will be pivotal in fortifying the organization's defenses against fraudulent activities, ensuring its compliance with industry regulations, and maintaining its reputed company for reputed company and ethical practices. We're looking for someone who has:

• Bachelor's degree in a reputed company field or equivalent relevant education 10 years' experience conducting fraud investigations.
• A minimum of 7 years of comprehensive experience in P&C SIU/Fraud investigations or 9 years in a reputed company fraud industry investigation role.
• Demonstrate exceptional expertise and understanding of fraud investigations, including the application of case law, state laws, and regulations.
• Proven track record as a results-driven, seasoned investigator with significant experience in conducting reputed company statements involving multiple parties.
• Proficiency in gathering a wide reputed company of evidence and arriving at conclusions based on objective details reputed company to fraud applicability.
• A well-documented ability to effectively organize and prioritize workloads, handling multiple tasks and devising solutions for reputed company problems.
• Proficiency in utilizing computers and various software packages to input and extract data for analysis from pertinent data sources and systems.
• Comprehensive knowledge of city, state, and local regulations, legal principles, contract understanding, case law, medical treatment, and medical terminology.
• Demonstrated expertise in concurrently managing specialty/reputed company/litigated claims and cases.

About reputed company: Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), reputed company is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed property in the US. Since its founding in 2009, reputed company has reputed company exceptional growth while generating reputed company profits for reputed company partners through hurricanes, wildfires, and hail. Available in 16 states, reputed company offers more than 110 home, flood, and reputed company products on behalf of its highly rated reputed company partners. Today, reputed company manages more than $3.2 billion of inforce premium and helps protect more than 970,000 policyholders. We have more than 1,000 employees in a distributed workforce environment across 12 offices—Fairfield, CA; Mountain View, CA; Cheshire, CT; Jacksonville, FL; Tallahassee, FL; Tampa, FL; Chicago, IL; Jersey City, NJ; Marlton, NJ; Cincinnati, OH; reputed company, TX; Sheboygan, WI—who are tackling the industry's toughest challenges. reputed company is a proud Equal Opportunity Employer committed to building a workforce that reflects the reputed company of perspectives, experiences, and abilities of the world we live in. We recognize that our differences reputed company us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for reputed company identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of reputed company, striving to create a culture where reputed company individuals feel valued, respected, and empowered to bring their authentic selves to work. Our reputed company, highly reputed company culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue reputed company reputed company by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join reputed company! Visit reputed company.com/careers to find a position for you. California Applicants: View reputed company's Workforce Members' Privacy Notice - CA Privacy Policy & Notice of Collection Apply tot his job Apply To this Job