Position Summary:

 

 

We are seeking an Assistant Vice-President (AVP), Special Investigations Unit (7IU8), to lead Crum & Forsters investigatory and anti-fraud program across a diversified specialty product portfolio covering all insurance lines of business.

 

 

What you will do:

 

• This role will lead an established SIU organization of approximatelyfifteen professionals, including SIU Managers, SIU Investigators and SIU Analysts. The Assistant Vice-President will be responsible for the strategic direction, operational oversight and continuous improvement of Crum & Forsters investigative practices, anti-fraud plan and anti-fraud governance. The Assistant Vice-President will oversee investigatory initiatives across multiple business units operating independently within the enterprise.
• Working closely with Claims, Underwriting, Premium Audit, Premium Accounting, Legal, Compliance, Audit and senior leadership, the Assistant Vice-President will ensure SIU operations are timely, compliant, effective and aligned with business priorities. This includes oversight of suspicious claims, policies, applications and other insurance transactions, while maintaining a strong focus on investigative quality, service standards, regulatory reporting, fraud trend identification and operational excellence.
• The Assistant Vice-President will also oversee SIU quality assurance, training, workload management, vendor governance and external agency coordination. This role serves as a key liaison with departments of insurance, fraud bureaus, law enforcement, prosecutors and industry anti-fraud organizations, while helping position SIU as a trusted business partner across the enterprise.
• Overall, this position requires executive-level SIU leadership, strong commercial insurance acumen, regulatory discipline and the ability to drive a high-performing investigatory function that protects the organization and supports sound business outcomes.

 

What you will bring to C&F:

 

 

• Bachelors degree from an accredited college/university or equivalent experience is required.
• 10+ years of significant experience in SIU, insurance fraud, claims investigation, law enforcement or related experience, including leadership of managers and multi-level teams.
• Demonstrated success leading SIU or anti-fraud operations within acommercial and specialty lines insuranceenvironment.
• Strong knowledge of fraud detection, investigative practices, evidence development, anti-fraud procedures and state fraud reporting requirements.
• Experience leading SIU quality assurance, service standards, training, workload management and operational performance oversight.
• Demonstrates strong communication and collaboration with business partners including Claims, Underwriting, Premium Audit, Premium Accounting, Legal, Compliance, Audit and senior leadership.
• Demonstrates critical thinking, sound judgment and the ability to manage complex fraud-related matters and competing priorities.
• Strong analytical skills to use metrics, trends and operational reporting to manage the function and drive continuous improvement.
• Experience overseeing SIU vendor management, including panel governance, performance, compliance and cost effectiveness.
• Experience working with departments of insurance, fraud bureaus, law enforcement, prosecutors and industry anti-fraud organizations.
• Excellent written, verbal and presentation skills, with the ability to communicate effectively at all organizational levels.
• Proficient abilities in Microsoft Office Suite, including Outlook, Word, Excel and managing multiple claim systems and investigative technologies.
• Adaptable, self-directed and responsive in a fast-paced environment with changing business priorities.
• Demonstrates initiative and accountability, taking ownership to obtain high-quality investigative and business outcomes.
• Operate in a hybrid capacity, with preferred presence in the Morristown, NJ home office with periodic travel for leadership meetings, training, business partnership activity and external agency or industry engagement.

 

#LI-MS

 

#LI-REMOTE

What C&F will bring to you

• 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 familys 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