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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting complex long-term care investigations, managing third-party vendors, and producing detailed reports. Proficient in advanced interviewing techniques and maintaining compliance with regulatory requirements.
Highest-signal resume keywords
Long-Term Care InvestigationsAdvanced Interviewing SkillsAnalytical SkillsReport WritingVendor Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Investigative PlanningDocument ReviewCase Management SystemsFinancial Services KnowledgeRegulatory Compliance
Soft Skills
Advanced Communication SkillsOrganizational SkillsPresentation SkillsAbility to Work in Dynamic Environment
Tools & Technologies
Microsoft Products
Certifications & Qualifications
CFELTCPLOMA
Industry Keywords
Long-Term CareInvestigation ProfessionSurveillance ActivitiesLaw Enforcement ReferralProfessional Networking
About the role
Key responsibilities & impact- Independently plan and conduct complex long-term care investigations
- Oversee investigative activities performed by third-party surveillance vendors
- Successfully complete high-quality, complex long-term care claims investigations
- Develop and execute thorough investigative plans
- Obtain and review internal and external documents supporting investigative activity and findings
- Conduct interviews with insureds, caregivers, and other involved parties
- Manage third-party vendors conducting long-term care surveillance activities
- Communicate findings and investigation status to Requesters
- Produce accurate, concise, objective reports
- Present case findings and recommendations to department management and Requesters
- Use internal case management systems to update management and plan/prioritize concurrent assignments
- Adhere to departmental, company, and regulatory timelines, policies, and requirements
- Prepare and present cases for referral to law enforcement, prosecutors, and regulators when applicable
- Provide depositions, grand jury, and court testimony as required
- Maintain knowledge of advanced investigative techniques, information sources, financial services industry changes, and applicable laws and regulations
- Maintain and expand a network of professional contacts
- Attend training sessions, read pertinent trade journals, and participate in and present to professional organizations and associations
Requirements
What you’ll need- Bachelor’s degree preferably in Criminal Justice or related field required
- Five (5) or more years of experience in the investigation profession and/or financial services industry
- Designations/certifications in relevant subject matter areas are a plus, including CFE, LTCP, and LOMA
- Highly proficient in various computer applications, including Microsoft products
- Advanced written and verbal communication skills
- Advanced analytical skills
- Advanced interviewing skills
- Ability to work in a dynamic environment
- Efficient and effective organizational skills
- Strong presentation skills
- Ability to travel on short notice and respond to urgent long-term care claim investigations
- Foreign language proficiency is a plus
Benefits
Comp & perks- Incentive programs and incentive compensation tied to business and individual performance
- Health insurance
- Dental insurance
- Mental health benefits
- Vision insurance
- Short- and long-term disability insurance
- Life and AD&D insurance coverage
- Adoption/surrogacy benefits
- Wellness benefits
- Employee/family assistance plans
- Retirement savings plans, including pension/401(k) savings plans
- Global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Up to 11 paid holidays
- 3 personal days
- 150 hours of vacation
- 40 hours of sick time, or more where required by law
- Statutory leaves of absence
- Remote work arrangement
- Learning and career growth support
- Flexible environment supporting well-being and inclusion