Central Insurance

Director

• Shape and lead Central’s internal audit function and strategy
• Align the enterprise internal audit strategy with organizational priorities and the risk landscape
• Design and govern a third-party audit delivery model
• Provide strategic oversight of audit activities conducted by external audit partners
• Serve as primary liaison to the Audit Committee of the Board of Directors
• Plan Audit Committee agendas, deliver insights, and report on audit outcomes, key risks, and strategic goals
• Own performance management and relationship strategy for audit providers
• Set expectations for audit scope, deliverables, and outcomes
• Develop and maintain a risk-based audit plan
• Oversee the end-to-end audit lifecycle, including planning, execution, reporting, and issue validation
• Evaluate audit outputs for actionable and relevant enterprise risk insights
• Advise executive leadership on emerging risks, control effectiveness, and governance maturity
• Partner with executive leadership, Legal, Compliance, IT, and Risk Management
• Advise leadership on control design, risk mitigation strategies, and operational effectiveness
• Maintain ownership of the internal audit charter, methodologies, and quality standards
• Ensure adherence to professional auditing standards and regulatory requirements, including Model Audit Rule
• Oversee the quality assurance and improvement program
• Coordinate audit activities across external auditors, regulators, and internal stakeholders
• Champion data, automation, external expertise, continuous improvement, and forward-looking audit practices
• Stay current on industry trends and regulatory changes

Director of Internal Audit

Investigator

• Conduct extensive and detailed investigations of high-complexity suspicious losses or organized schemes involving staged accident rings, medical provider treatment and billing rings, and general contractors including public adjusters, roofing, and mitigation companies
• Partner with SIU and line-of-business claims personnel to determine whether to initiate organized scheme investigations
• Assist in developing training and provide fraud awareness training and technical advice to internal stakeholders
• Develop and execute investigation strategies for complex assigned cases, particularly organized or ring-related cases
• Gather and evaluate data from multiple internal and external sources to identify and investigate potential fraudulent insurance acts involving Central policies
• Lead in-depth interviews of insureds, witnesses, medical professionals, claimants, and other parties associated with claims
• Complete detailed investigations in adherence with SIU procedures and best practices
• Establish relationships and present cases to Departments of Insurance, NICB, state, local, and federal law enforcement, medical boards, Departments of Professional Licensing, and other necessary departments
• Seek potential sources of prosecutorial or administrative action, including the Better Business Bureau, Federal Trade Commission, State Attorney General, and other entities

Director of Internal Audit

Major Case Investigator