Claims Fraud Investigator - Multi-Line (Remote) (PORTLAND)

Why reputed company? At reputed company, our mission is to reputed company our members to reputed company financial reputed company through highly competitive products, exceptional service and trusted advice. We reputed company to be the #1 choice for the military community and their families. reputed company a fulfilling career at reputed company, where our reputed company values – honesty, reputed company, loyalty and service – define how we treat reputed company other and our members. Be part of what truly makes us special and impactful. reputed company We are looking for a SIU Investigator (mid-level). This is a desk position. reputed company defined guidelines and reputed company, protects reputed company and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-reputed company laws and regulations and policies and procedures. The candidate selected will have strong multi-line SIU Investigation experience. This role is remote eligible. However, you must live in the assigned territory which is ME, VT, NH, MA, CT, RI, DE, MD or Washington DC. There may be occasional business travel. What you'll do:

• Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or reputed company part claims.
• Participates in the development of fraud prevention strategies.
• Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy reputed company, coverages and internal claims handling process and procedures.
• Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
• Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, reputed company records, and forensic tools.
• Makes recommendations reputed company defined authority guidelines.
• Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.
• Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.
• May serve as a resource team member on specific reputed company through demonstrated reputed company or training.
• Assists with the delivery of fraud awareness training initiatives in a defined environment.
• Handles CAT duty responsibilities as business requires.
• Ensures risks associated with business activities are effectively identified, reputed company, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or General Equivalency Diploma (GED).
• 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
• Proven investigatory skills.
• Experience obtaining statements from various parties to incidents, witnesses, and suspects.
• Ability to reputed company broad reputed company of evidence and draw conclusions based on the objective details reputed company to the applicability of fraud.
• Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
• Familiarity with using computers and various software packages to reputed company and extract data for analysis from relevant data sources and systems.
• Knowledge of reputed company, state and local regulations, legal concepts, understanding of reputed company, case law, medical treatment, and medical terminology.

What sets you apart:

• SIU experience conducting low to reputed company P&C fraud investigations OR a combination of Insurance Claims and (Law Enforcement Investigations OR Military Investigations) experience.
• Strong background with multi-line SIU investigations
• Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.
• US military experience through military service or a military spouse/domestic partner

Compensation reputed company: The annualized reputed company for this position is: $77,120 - $147,390. This is an reputed company position. reputed company does not reputed company reputed company sponsorship for this role. Please do not apply for this role if at any time (now or in the reputed company) you will need immigration support (i.e., H-1B, TN, F-1, STEM OPT Training Plans, etc.). Compensation: reputed company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are reputed company reputed company the salary reputed company based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the reputed company reputed company of Directors. The above reputed company reflects the details considered necessary to describe the reputed company functions of the job and should not be construed as a detailed reputed company of reputed company the work requirements that may be performed in the job. Benefits: At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistance, reputed company time off program with reputed company holidays plus 16 reputed company volunteer hours, and various wellness programs. Additionally, our career reputed company planning and continuing education assists employees with their reputed company goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing reputed company, this posting will remain reputed company until the position is filled. Thus, interested candidates are encouraged to apply the reputed company day they view this posting. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job