Global Investigative & Forensic Services Senior Investigator

About the position Position Responsibilities : Successfully completes high-quality, sophisticated long term care claims investigations Independently develops and drives a detailed investigative plan Acquires and reviews internal / external documents to support investigative activity and findings Conducts interviews of insureds, caregivers, and other involved parties Handles third party vendor(s) conducting long term care surveillance activities Regularly communicates findings and investigation status to Requesters Produces reports that are accurate and objective Presents case findings and recommendations for further action to department management and Requesters Optimally applies internal case management systems to keep department management updated and to plan / prioritize concurrent assignments Adheres to departmental, company and regulatory timelines, policies, and requirements When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as the need arises Mentors and trains more junior investigators on long term care claim cases and processes Ability to travel on short notice and responds to urgent long term care claim investigations Maintains knowledge of sophisticated investigative techniques, company / external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics Maintains and continuously expands network of professional contacts Plays a major role in the department’s fraud awareness training program by developing and delivering appropriate material to employees Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations When you join our team: We’ll empower you to learn and grow the career you want. We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words. As part of our global team, we’ll support you in shaping the future you want to see.

Responsibilities

• Successfully completes high-quality, sophisticated long term care claims investigations
• Independently develops and drives a detailed investigative plan
• Acquires and reviews internal / external documents to support investigative activity and findings
• Conducts interviews of insureds, caregivers, and other involved parties
• Handles third party vendor(s) conducting long term care surveillance activities
• Regularly communicates findings and investigation status to Requesters
• Produces reports that are accurate and objective
• Presents case findings and recommendations for further action to department management and Requesters
• Optimally applies internal case management systems to keep department management updated and to plan / prioritize concurrent assignments
• Adheres to departmental, company and regulatory timelines, policies, and requirements
• When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as the need arises
• Mentors and trains more junior investigators on long term care claim cases and processes
• Ability to travel on short notice and responds to urgent long term care claim investigations
• Maintains knowledge of sophisticated investigative techniques, company / external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics
• Maintains and continuously expands network of professional contacts
• Plays a major role in the department’s fraud awareness training program by developing and delivering appropriate material to employees
• Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations

Requirements

• Bachelor’s degree preferably in Criminal Justice or related field required; graduate work a plus
• 5+ years of proven track record in the investigation profession and/or financial services industry
• Designations / certifications in relevant subject matter areas a plus (CFE, LTCP, LOMA)

Nice-to-haves

• Highly proficient in various computer applications (Microsoft products etc.)
• Sophisticated written and verbal communication skills
• Sophisticated analytical skills
• Sophisticated interviewing skills
• Ability to work in a dynamic environment
• Efficient and effective organizational skills
• Strong presentation skills
• Foreign language proficiency a plus

Benefits

• health
• dental
• mental health
• vision
• short- and long-term disability
• life and AD&D insurance coverage
• adoption/surrogacy and wellness benefits
• employee/family assistance plans
• retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions)
• financial education and counseling resources
• paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law)
• full range of statutory leaves of absence

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