Senior Special Investigator

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

📋 Description

• Perform prompt investigations of suspected fraudulent claims to ensure timely and accurate claims decisions.

• Carry out intricate recorded interviews and investigations to confirm claims or identify individuals or organizations involved in suspicious activities.

• Lead sensitive, high-exposure, high-profile assignments and complex specialized fraud referrals across various entities or functions.

• Utilize advanced knowledge of P&C insurance products, services, processes, policy contracts, coverages, claims handling procedures, and insurance fraud laws and regulations.

• Gather and assess evidence through field or remote interviews, investigative databases, internal resources, internet resources, public records, and forensic tools.

• Keep confidential claims files and document pertinent facts in the claims handling system.

• Make referrals to State Insurance Departments, fraud bureaus, and NICB when fraudulent or suspicious activity is detected.

• Initiate civil or criminal actions based on the results of investigations.

• Maintain investigative databases and support Assurant subsidiaries and accounts with their investigations.

• Provide fraud training for new hires, clients, and company staff as necessary.

• Assist the SIU Manager with claims assignments as required.

• Request, prepare, document, and possibly conduct Examinations Under Oath and sworn statements, including cases involving attorney representation.

• Acquire, assess, and summarize law enforcement reports, credit reports, medical documentation, and affidavits.

• Review and interpret medical records, reports, and billing related to injury-loss investigations.

• Provide testimony at depositions, hearings, and trials.

• Build and maintain relationships with law enforcement, vendors, and industry experts.

• Manage budgeting and oversee outsourced investigations directed to vendor partners.

• Serve as a resource for other Special Investigators.

⛳️ Requirements

• Over 10 years of P&C SIU/Fraud investigation experience or relevant fraud industry investigation experience, or a minimum of 10 years prior law enforcement investigative experience at a detective rank.

• Familiarity with Florida Property Fraud is preferred.

• Bachelor’s Degree in Criminal Justice or relevant work experience is desirable.

• CFE/CIFI/FCLS designations are a plus.

• Experience in Field Investigations.

• Detail-oriented with strong organizational abilities; capable of performing well under deadlines in a dynamic environment and managing multiple tasks efficiently and simultaneously.

• Proven ability to cultivate relationships with both internal and external customers.

• Demonstrated capability to work independently as well as in a collaborative team environment while exercising sound judgment.

• Exceptional oral and written communication skills along with strong analytical capabilities.

• Proficient in Microsoft Office products, including Excel, PowerPoint, and Word, as well as claims-related software programs.

• Experience in taking complex statements from multiple parties involved in an event.

• Ability to gather a wide range of evidence and draw conclusions based on objective details pertinent to fraud applicability.

• Capable of organizing and prioritizing workload, managing multiple tasks, and creating solutions to problems.

• Ability to handle a high volume of investigations while remaining timely in status reporting.

• The ideal candidate will reside in Florida.

🏝️ Benefits

• Comprehensive health and wellness programs.

• Competitive salary and performance-based incentives.

• Opportunities for professional development and career advancement.

• Generous paid time off and flexible work arrangements.

• Employee assistance programs and support services.