This position is responsible for the supervision of the daily operations of a Special Investigations Unit. Responsibilities & Objectives· Ensure regulatory compliance. · Coordinate fraud investigations with appropriate insurance fraud agencies and law enforcement and act as liaison with same. · Establish databases necessary for the tracking of fraud rings and organized schemes. · Receive and distribute information pertaining to patterns and developments in claims fraud. · Interview, hire, train, develop and monitor performance of staff. · Review, monitor and audit work of assigned investigations. · Conduct investigations. · Advise claims management and investigative staff of changes in case law and legislation concerning insurance fraud. · Develop and present fraud awareness training programs, claim fraud indicators and reporting requirements. · Establish a budget and monitor investigative expenses for compliance with same. · Perform other duties as assigned. PREREQUISITES- Bachelors degree required
- Continued industry education and certification (FCLS, CIFI, CFE)
Experience & Skills · Minimum 5 years industry experience · Minimum 10 years law enforcement investigative or comparable industry experience preferred · Proven project planning and management skills with previous supervisory experience preferred · Strong leadership skills · Excellent analytical, communication and interpersonal skills · Strong problem solving skills · Ability to prepare and present training sessions · Possess a strong rapport with law enforcement and investigative contacts · Ability to prepare and present comprehensive investigative reports for legal proceedings and court presentations · Working knowledge of both civil and criminal court proceedings, including rules of evidence · Current valid driver’s license and ability to qualify for Company car operation under the Bristol West Company Car Policy · Working knowledge of Microsoft Word and Excel
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