Global Investigative & Forensic Services Senior Investigator

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

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Experience:

• · 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)

• Skills / knowledge:

• · 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

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 …