We are looking for a talented Fraud investigator to be responsible for identifying and handling suspicious or problematic insurance claims while providing consultation and strategic directions through professional reports.
The ideal candidate should have demonstrable analytical skills along with a passion for research and investigative evidence analysis.
Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by clients against our company
Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations
Prepare and coordinate field assignments to obtain relevant evidence and information
Coordinate with defense attorneys to provide deposition strategies and use law enforcement resources for assistance
Manage and prioritize a large and varied case load effectively and efficiently to achieve positive results
Prepare prosecution packages and restitution proposals
Proven working experience in related field
Strong interpersonal and communication skills including the ability to interact with clients, upper management and law enforcement
Ingenuity and persistence to obtain case information not readily available with an eye for detail
Ability to work independently with minimum supervision
Good organisational skills needed to manage a high volume of assigned cases
Proficient with the insurance procedures, regulations and investigation methods
Hands on experience with relevant Information System
Display good interviewing and interrogation skills along with the capability of drafting reports
Honest and ethical with high levels of integrity and confidentiality
Willing to submit to extensive background checks and provide employment recommendations
BS degree in a related field (e.g. insurance studies, criminal justice, risk management) or other relevant certification preferred (e.g. Certificate of Insurance Fraud Investigator)
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