Senior Long Term Care Investigator

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Plan and execute complex long-term care investigations independently.

• Supervise investigative activities conducted by third-party surveillance vendors.

• Complete comprehensive and high-quality investigations related to long-term care claims.

• Create and implement detailed investigative plans.

• Collect and evaluate internal and external documents that support investigative actions and conclusions.

• Conduct interviews with insured individuals, caregivers, and other relevant parties.

• Oversee third-party vendors engaged in long-term care surveillance tasks.

• Relay findings and the status of investigations to Requesters.

• Generate precise, succinct, and objective reports.

• Present case results and recommendations to departmental management and Requesters.

• Utilize internal case management systems to keep management informed and to organize and prioritize concurrent tasks.

• Comply with departmental, company, and regulatory timelines, policies, and requirements.

• Prepare and present cases for referral to law enforcement, prosecutors, and regulators when necessary.

• Provide testimonies in depositions, grand jury proceedings, and court as needed.

• Stay informed about advanced investigative techniques, changes in the financial services industry, and relevant laws and regulations.

• Build and maintain a network of professional contacts.

• Participate in training sessions, read relevant trade journals, and engage with professional organizations and associations.

⛳️ Requirements

• A Bachelor’s degree, preferably in Criminal Justice or a related field, is required.

• At least five (5) years of experience in the investigation field and/or financial services industry.

• Relevant designations or certifications, such as CFE, LTCP, and LOMA, are advantageous.

• Highly skilled in various computer applications, including Microsoft products.

• Exceptional written and verbal communication abilities.

• Strong analytical capabilities.

• Advanced interviewing skills.

• Capacity to operate in a dynamic environment.

• Efficient and effective organizational skills.

• Proficient presentation skills.

• Willingness to travel on short notice and respond to urgent long-term care claim investigations.

• Proficiency in a foreign language is a plus.

🏝️ Benefits

• Incentive programs and compensation linked to business and individual performance.

• Health insurance coverage.

• Dental insurance benefits.

• Mental health support.

• Vision insurance options.

• Short- and long-term disability insurance.

• Life and Accidental Death & Dismemberment (AD&D) insurance coverage.

• Adoption and surrogacy benefits.

• Wellness programs.

• Employee and family assistance plans.

• Retirement savings plans, including pension and 401(k) plans.

• Global share ownership plan with employer matching contributions.

• Resources for financial education and counseling.

• Up to 11 paid holidays.

• 3 personal days off.

• 150 hours of vacation time.

• 40 hours of sick leave, or more as required by law.

• Statutory leaves of absence.

• Options for remote work arrangements.

• Support for learning and career advancement.

• Flexible environment promoting well-being and inclusion.