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Role Description

We are seeking an experienced investigator to join our Special Investigations Unit (SIU). SIU is responsible for detecting, investigating and deterring insurance fraud committed against our companies, its policyholders and the insurance industry as a whole.

This position offers a flexible workplace location for the right candidate, including with the ability to work largely remotely and/or with a hybrid in-office/remote presence in limited regional offices.

• Provide investigative and anti-fraud advisory services across specialty and standard commercial lines insurance products
• Conduct comprehensive investigations of questionable insurance claims and policies in compliance with legal and industry standards
• Screen and extract source data from claim and policy files
• Collaborate with file handlers in development and execution of investigation plans
• Conduct and/or case manage claims and policy field investigations that include interviews, recorded statements, and scene investigation
• Case manage vended services such as surveillance, activity checks, and medical canvases with a focus on quality, timeliness and cost control
• Conduct desk-based investigations ranging from locating individuals to conducting comprehensive and detailed background investigations
• Investigations require research, analysis and preservation of web-based OSINT records utilizing sources such as:
  • Proprietary public record databases
  • In-depth web presence mining of social media, photo/video sharing websites, business due diligence and news media/archives
  • County, state & federal repositories for records such as civil/criminal, liens/judgments, vehicle/properties, professional licensing
  • Claim history via ISO ClaimSearch and related products
  • National Insurance Crime Bureau (NICB)
• Preserve physical and digital evidence
• Provide timely communications with file handlers of ongoing investigative activities and case disposition
• Prepare professional investigative reports that include detailed findings, supporting documents and recommendations
• Develop and maintain network of anti-fraud enforcement/regulatory agency personnel, industry counterparts and law enforcement
• Participate in regional anti-fraud industry training and task force meetings
• Ensure knowledge and compliance with all anti-fraud regulatory requirements of any assigned territories
• Refer and package cases that warrant mandatory reporting to state anti-fraud agencies
• Participate in anti-fraud training and marketing for company personnel and customers
• Periodic regional travel and an ability to work independently required

Qualifications

• BS/BA required
• 6+ years’ experience as an SIU investigator with either an insurance carrier and/or government anti-fraud agency, in the investigation of property & casualty claims
• Prior background in insurance claims and/or law enforcement preferred with a proven record of diligent and proactive anti-fraud efforts
• Social media savvy, proficient in searching and preserving digital evidence; particularly using Google, Facebook, X, Instagram, TikTok, YouTube, LinkedIn, and other social/business media platforms
• Advanced analytical skills and artificial intelligence awareness
• Exceptional organizational and report writing skills
• Computer proficient in Microsoft Office applications
• Self-starter, high energy and detail oriented; ability to work with minimal supervision
• Ability to build strong relationships across all levels of our organization
• Credit security clearance, confirmed via a background credit check, is required for this position

Benefits

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
• A core C&F tenet is supporting your career development, so we provide a wealth of ways for you to keep learning, which may include tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
• A dynamic, ambitious, fun and exciting work environment
• We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community