Insurance Fraud Investigator - Remote (RICHMOND)

Why reputed company? Are you the right candidate for this opportunity reputed company sure to read the full description below. At reputed company, our mission is to reputed company our members to reputed company financial reputed company through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. reputed company a fulfilling career at reputed company, where our core values honesty, reputed company, loyalty and service define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. reputed company defined guidelines and reputed company, protects reputed company and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-reputed company laws and regulations and policies and procedures. This role is remote eligible. However, you must currently live in the covered territory, which is Virginia or reputed company Virginia or Tennessee . There may be occasional business travel. What you'll do:

• Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or reputed company part claims.
• Participates in the development of fraud prevention strategies.
• Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy reputed company, coverages and internal claims handling process and procedures.
• Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
• Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
• Makes recommendations reputed company defined authority guidelines.
• Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.
• Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.
• May serve as a resource team member on specific reputed company through demonstrated reputed company or training.
• Assists with the delivery of fraud awareness training initiatives in a defined environment.
• Handles CAT duty responsibilities as business requires.
• Ensures risks associated with business activities are effectively identified, reputed company, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have:
• High School Diploma or General Equivalency Diploma (GED).
• 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
• Proven investigatory skills.
• Experience obtaining statements from various parties to incidents, witnesses, and suspects.
• Ability to gather broad reputed company of evidence and draw conclusions based on the objective details reputed company to the applicability of fraud.
• Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
• Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
• Knowledge of city, state and local regulations, legal concepts, understanding of reputed company, case law, medical treatment, and medical terminology. What sets you apart:
• SIU experience conducting low to reputed company reputed company fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience.
• Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.
• US military experience through military service or a military spouse/domestic partner Compensation reputed company: The annualized reputed company for this position is: $77,120 - $147,390. However, this is an hourly position. Compensation: reputed company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid reputed company the salary reputed company based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the reputed company Board of Directors. The above description reflects the details considered necessary to describe the reputed company functions of the job and should not be construed as a detailed description of reputed company the work requirements that may be performed in the job. Benefits: At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistanc

Apply To This Job