Primary Job Duties & Responsibilities
Serves as the subject matter expert for regulatory, legislative and legal issues relating to insurance fraud. Makes decisions as to when to engage law enforcement or other experts. Influences, guides and supports proactive anti-fraud strategies aligned towards the pursuit of criminal or civil actions that are designed to detect and deter insurance fraud. Analyzes file requests from all states, other carriers and law enforcement for privilege and production. Manages cases that may be high profile, high dollar value or have other unique characteristics. Develops critical contacts and networks nationally within the insurance industry and law enforcement. Partners with key agencies within the insurance industry to design and champion anti-fraud legislation. Effectively communicates intelligence regarding fraud trends, environmental issues, legislative and court rulings to management and internal business partners. Develops and delivers training to internal employees, law enforcement and industry professionals. Other duties as assigned.
A minimum of five years of investigative experience or a minimum of five years insurance claim related experiencerequired. Valid driver’s license required.