Manager – Special Investigations Unit

West Bend Insurance Company

. Lead the day-to-day operations of the Special Investigations Unit .

Posted 10/22/2026full-timeWisconsin • United StatesSeniorLead💰 $110,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in leading Special Investigations Units, managing complex insurance fraud investigations, and ensuring compliance with legal and regulatory standards. Proven ability to mentor teams, deliver training, and collaborate with cross-functional partners to enhance fraud detection and prevention efforts.

Highest-signal resume keywords

7+ Years In Insurance InvestigationsLeadership ExperienceKnowledge Of P&C ClaimsProfessional Certification (CIFI, CFE, FCLS, FCLA)Familiarity With Fraud Analytics Tools

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud DetectionInvestigative PracticesCase Management SystemsRegulatory FrameworksFraud TypologiesPerformance ManagementInvestigative StandardsOperational EffectivenessFraud AnalyticsVendor Management

Soft Skills

Strong Communication SkillsTeam LeadershipMentoringInfluencing StakeholdersCoaching

Certifications & Qualifications

CIFICFEFCLSFCLA

Industry Keywords

Insurance Fraud StatutesRegulatory ComplianceFraud AwarenessLaw Enforcement LiaisonFraud Prevention

About the role

Key responsibilities & impact

Lead the day-to-day operations of the Special Investigations Unit
Oversee investigators and ensure consistent investigative standards and best practices
Guide investigators through complex, high-exposure, multi-jurisdictional, and organized-fraud cases
Review and approve critical investigative actions, referrals, and outcomes
Manage hiring, coaching, development, succession planning, and performance management
Mentor investigators and supervisors
Deliver investigative training and promote fraud awareness across the enterprise
Ensure investigations are thorough, defensible, and compliant with legal and regulatory requirements
Maintain adherence to state insurance fraud statutes, reporting obligations, and regulatory expectations
Support audits, regulatory exams, and external inquiries
Liaise with law enforcement, fraud bureaus, and industry organizations
Partner with Claims, Legal, Compliance, and Analytics teams on fraud detection and prevention
Contribute to fraud analytics initiatives, tools, and reporting enhancements
Monitor SIU metrics including referrals, cycle times, and outcomes
Manage vendor relationships and investigative technologies
Lead fraud-prevention and operational-effectiveness initiatives

Requirements

What you’ll need

7+ years in insurance investigations, fraud detection, or SIU operations
3+ years in a leadership role
Strong knowledge of P&C claims, fraud typologies, and investigative practices
Familiarity with fraud analytics tools, case management systems, and regulatory frameworks
Ability to manage complex investigations and make sound, defensible decisions
Proven ability to lead, develop, and inspire high-performing teams
Strong communication skills with the ability to influence senior stakeholders
Bachelor’s degree in Criminal Justice, Business, Risk Management, Analytics, or related field
At least one professional certification required: CIFI, CFE, FCLS, or FCLA
Insurance or claims-related designations are a plus
Prior law enforcement experience is a plus
Formal investigative or law enforcement training is nice to have

Benefits

Comp & perks

Medical & Prescription Insurance
Health Savings Account
Dental Insurance
Vision Insurance
Short and Long Term Disability
Flexible Spending Accounts
Life and Accidental Death & Disability
Accident and Critical Illness Insurance
Employee Assistance Program
401(k) Plan with Company Match
Pet Insurance
Paid Time Off; standard first year PTO is 17 days, pro-rated based on month of hire
Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance
Applicable state and local employee leave benefits