Senior Long Term Care Investigator

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Independently strategize and carry out intricate investigations related to long-term care claims.

• Supervise investigative efforts conducted by external surveillance vendors.

• Create and implement comprehensive investigative plans.

• Gather and analyze internal and external documents that support investigative activities and conclusions.

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

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

• Communicate findings and the status of investigations to Requesters.

• Generate accurate, concise, and objective reports.

• Present case findings and recommendations to department management and Requesters.

• Utilize internal case management systems to update management and organize/prioritize concurrent assignments.

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

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

• Provide depositions, grand jury, and court testimony as required.

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

• Maintain and grow a network of professional contacts.

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

⛳️ Requirements

• A bachelor's degree, ideally in Criminal Justice or a related field, is required.

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

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

• Exceptional written and verbal communication abilities.

• Strong analytical skills.

• Advanced interviewing capabilities.

• Capability to thrive in a dynamic work environment.

• Efficient and effective organizational skills.

• Proficient presentation skills.

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

• Professional designations/certifications such as CFE, LTCP, or LOMA are advantageous.

• Graduate-level education is a plus.

• Proficiency in a foreign language is a plus.

🏝️ Benefits

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

• Comprehensive health insurance.

• Dental insurance benefits.

• Mental health support.

• Vision insurance.

• Short- and long-term disability coverage.

• Life and AD&D insurance.

• Adoption and surrogacy benefits.

• Wellness initiatives.

• Employee and family assistance programs.

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

• Global share ownership plan with employer matching contributions.

• Financial education and counseling resources.

• Up to 11 paid holidays annually.

• 3 personal days each year.

• 150 hours of vacation time per year.

• 40 hours of sick leave per year (or more as required by law).

• Statutory leaves of absence.

• Flexible work environment.

• Support for learning and career development.

• Well-being and inclusion initiatives.