[Hiring] Special Claims Desk Investigator @Great American Insurance Group

Role Description

Our Special Investigation Unit is looking for a Special Claims Desk Investigator to join their Major Case Unit team. This individual will work fully remote.

• Conducts specific investigations for claims cases involving suspected ring activity:
• Investigates all suspect fraud referrals.
• Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
• Identifies trends and patterns of suspected fraudulent activity.
• May personally handle field investigations or assign field work (i.e., surveillance, statements, etc.) to independent investigation firms.
• Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.
• Prepares investigation reports and detailed comprehensive reports. Evaluates claims and recommends courses of action to management.
• May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
• May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
• May provide guidance to less experienced staff and serve as a resource to other functional areas.
• Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations:
• May participate in identifying enhancements to improve performance and functionality of technology applications.
• May participate in testing the application.
• Performs other duties as assigned.

Qualifications

• Education: Bachelor’s Degree or equivalent experience.
• Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
• Experience: Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience.
• Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.

Requirements

• This job is non-exempt in California and Washington.

Benefits

• We offer competitive benefits packages for full-time and part-time employees.
• Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement.
• Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.
• Compensation varies by role, level, and location and is influenced by skills, experience, and business needs.
• Your recruiter will provide details about benefits and specific compensation ranges during the hiring process.