[Hiring] Senior Investigator @West Bend Insurance Company

Role Description

Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, commercial, and specialty lines of business.

This is a fully remote/work from home role where you will spend up to 50% of your time in the field, servicing the state of Arizona. On occasion you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Responsibilities

• Detect and investigate suspicious claims, underwriting activity, and policy irregularities.
• Identify red flags, gather evidence, and document findings with precision and compliance.
• Conduct deep-dive investigations into complex and high-exposure cases.
• Lead major investigations into organized fraud schemes, partnering with legal teams and law enforcement.
• Evaluate claims for inconsistencies—late reporting, questionable damages, billing anomalies, and more.
• Develop and execute strategic investigative plans in collaboration with internal stakeholders.
• Manage external vendors supporting investigative efforts.
• Produce clear, compelling reports to support internal decisions and potential legal action.
• Stay ahead of evolving fraud tactics, regulations, and investigative technologies.
• Serve as a subject matter expert—training teams and mentoring fellow investigators.

Qualifications

• 8–10 years of experience in fraud investigation, SIU, claims investigation, or similar roles.
• Advanced investigative skills, including evidence gathering, interviewing, and case development.
• Strong knowledge of insurance lines (auto, property, workers’ compensation, etc.).
• Excellent written and verbal communication skills.
• Experience working with investigative tools, databases, and digital research methods.
• Comfort using modern technology, including AI-enabled fraud detection tools.
• A collaborative mindset and a drive to continuously learn and adapt.

Benefits

• 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.

Salary Statement

The salary range for this position is $77,000-$97,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity.