Fraud Investigator

NYCM Insurance

. Conduct insurance fraud investigations in accordance with company, SIU, statutory, regulatory, and legal guidelines .

Posted 10/6/2026full-timeSherburne • New York • United StatesSeniorLead💰 $48,476 - $75,407 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting insurance fraud investigations while adhering to New York State regulations and company policies. Proficient in utilizing investigative techniques, data analysis, and technical tools to identify leads and prepare detailed reports.

Highest-signal resume keywords

Insurance Fraud InvestigationNew York State RegulationsData AnalysisTechnical Proficiency with Investigative EquipmentVerbal and Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Claims InvestigationData AnalysisReport PreparationInterviewing TechniquesActivity ChecksChronological Case Order MaintenanceTechnical Proficiency with CamerasMicrosoft WordMicrosoft ExcelDatabase Management

Soft Skills

OrganizedDetail-OrientedActive ListeningIndependent WorkAbility to Take Direction

Tools & Technologies

Investigative EquipmentComputersRecordersSIU Resource Materials

Industry Keywords

Civil LawCriminal LawInsurance RegulationsFraud ReportingLaw Enforcement Liaison

About the role

Key responsibilities & impact

Conduct insurance fraud investigations in accordance with company, SIU, statutory, regulatory, and legal guidelines
Identify leads and potential investigations using data, databases, and spreadsheets
Prepare regular, timely, and accurate written reports for referring parties in accordance with New York State regulations and company policies
Conduct interviews and take recorded or written statements
Verify receipts, complete activity checks, and perform other investigative processes using SIU resources
Maintain chronological case order and accurate factual activity logs
Report suspected insurance fraud in accordance with regulations
Testify in court and brief management
Interface with law enforcement and regulatory agencies
Liaise between SIU Field Investigators, EFW Examiners, and Claims Examiners
Maintain technical proficiency with investigative equipment and remain current in investigative techniques through assigned training
Remain familiar with civil, criminal, and other relevant laws
Perform other duties as assigned

Requirements

What you’ll need

Associate or bachelor's degree in criminal justice or related field, OR five years of insurance claims investigation experience, OR professional investigation experience with law enforcement agencies, OR seven years of professional investigation experience involving economic or insurance related matters
Working knowledge of New York State regulations and company policies
Familiarity with civil and criminal law and other laws impacting investigations
Technical proficiency with cameras, computers, recorders, and SIU resource materials
Good computer skills, including electronic email and databases
Proficiency in Microsoft Word and Excel
Organized, detail-oriented, and investigative thought process
Excellent verbal and written communication and active listening skills
Ability to work independently and take direction
Ability to analyze data to identify leads and potential investigations
Ability to work in less-than-ideal situations and locations while performing investigations

Benefits

Comp & perks

Hybrid work arrangement with 2 days in office
40 hours per week