Investigator

• 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

Explore Senior Investigator at EMC Insurance Companies. Review requirements and application details.