Senior Investigator

EMC Insurance Companies

. Investigate and evaluate moderate- to high-complexity SIU referrals, including organized ring activity .

Posted 10/22/2026full-timeRemote • Iowa • United StatesSenior💰 $78,726 - $119,646 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in investigative processes, including evidence collection and analysis, while effectively communicating findings and recommendations. Proficient in claims adjusting and fraud detection within the property and casualty insurance sector.

Highest-signal resume keywords

Fraud Claim Law Specialist (FCLS) DesignationClaims Adjusting ExperienceInvestigative Processes KnowledgeProperty and Casualty Insurance KnowledgeMicrosoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Investigative ProcessesEvidence CollectionClaims AdjustingStatement-Taking TechniquesCivil Investigative ProceduresCriminal Investigative ProceduresNegotiation SkillsConflict ResolutionData AnalysisReport Preparation

Soft Skills

Verbal CommunicationWritten CommunicationDecision-MakingFacilitationTeam Collaboration

Certifications & Qualifications

Fraud Claim Law Specialist (FCLS)INSAIC

Industry Keywords

Property and Casualty InsuranceFraud AwarenessSIU InvestigationsNational Insurance Crime BureauProfessional Associations

About the role

Key responsibilities & impact

Investigate and evaluate moderate- to high-complexity SIU referrals, including organized ring activity
Review claim, underwriting, premium audit, billing, invoice, receipt, and other pertinent records
Contact departments, insureds, claimants, witnesses, vendors, carriers, attorneys, law enforcement, and other parties to obtain information
Research public records, claims history, social media, and other background information
Take statements and conduct field investigations
Document investigative handling, activity, evidence, and findings
Attend examinations under oath and depositions
Track investigation trends and organized ring patterns
Provide status updates to internal teams, agents, defense counsel, and law enforcement
Identify, investigate, and pursue recovery or restitution opportunities
Analyze investigative data and evidence and recommend claim or policy handling, including payment, compromise, denial, or rescission
Prepare special reports, evidence packets, anti-fraud reports, and litigation or prosecution documentation
Communicate investigative activities and evidence supporting or exonerating potential fraud
Develop and deliver internal and external anti-fraud training and educational materials
Collaborate on SIU marketing strategies and implement assigned strategies
Help establish SIU investigation policies, standards, practices, techniques, and procedures
Maintain active involvement in relevant professional associations

Requirements

What you’ll need

Bachelor’s degree in business, insurance, criminal justice or related field or equivalent relevant experience
Five years of claims adjusting, investigation or insurance experience or related experience
Prior property and casualty experience preferred
Fraud Claim Law Specialist (FCLS) designation within the first year of hire
Insurance designations, such as INS or AIC, preferred
Strong knowledge of investigative processes, physical evidence collection, civil and criminal investigative procedures, legal systems, statement-taking techniques, and public/private records
Knowledge of the property and casualty insurance industry and fraud awareness preferred
Strong investigative, decision-making, conflict resolution, negotiation, facilitation, verbal and written communication skills
Ability to work independently and as part of a team
Knowledge of computers and Microsoft Office Suite
Attendance of the National Insurance Crime Bureau SIU Academy within the first two years of hire
Occasional travel
Valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Benefits

Comp & perks

Comprehensive rewards package; benefits details provided via www.emcins.com/careers
Remote work from home anywhere in the United States
Professional designation opportunity: Fraud Claim Law Specialist (FCLS) within the first year of hire
Attendance of the National Insurance Crime Bureau SIU Academy within the first two years of hire