Senior Investigator

Job not on LinkedIn

🔥 3 minutes ago

🌾 Iowa – Remote

infoinfo

💵 $78.7k - $119.6k / year

⏰ Full Time

🟠 Senior

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Logo of EMC Insurance Companies

EMC Insurance Companies

1001 - 5000 employees

Founded 1911

🛡️ Insurance

Insurance

EMC Insurance Companies is a mutual insurance firm providing specialized business insurance solutions. They focus on commercial property insurance, liability insurance, workers' compensation, and business owners' policies. With a strong emphasis on personalized service, EMC collaborates closely with local agents to deliver comprehensive and tailored coverage. EMC is committed to understanding the unique challenges faced by its policyholders, offering risk management and loss control resources to help businesses safeguard their assets. Known for their dedicated partnerships and exceptional customer service, EMC ensures that businesses are prepared for the unexpected with their superior insurance solutions.

📋 Description

• 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

• 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

• 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

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