Investigates low to moderately complex insurance fraud activity involving multi-line claims, build and maintain meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection with internal and external business partners, agents and customers.
Position Compensation Range:
$70,000.00 - $116,000.00
Pay Rate Type:
Salary
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities
• Evaluates investigation assignments to ensure intervention is warranted.
• Identifies evidentiary leads and utilizes effective and efficient investigative techniques to pursue and acquire relevant evidence that accurately resolves all fraud concerns.
• Produces a work product that can stand the test and scrutiny of the courts/legal system.
• Communicates with internal and external business partners regarding investigations and insurance fraud matters.
• Develops and maintains contact with public agencies and other sources concerning insurance fraud issues and investigations. Acts as a liaison between the company, police and fire officials.
• Develops and maintains meaningful relationships with internal and external business partners as a subject matter expert that contribute to insurance fraud detection.
• Develops and delivers insurance fraud awareness training to internal and external business partners as a subject matter expert.
Specialized Knowledge & Skills Requirements
• Demonstrated experience providing customer-driven solutions, support or service.
• Demonstrated experience performing investigations to include developing evidentiary leads, interviewing investigative subjects and witnesses, and performing internet and informational databases research to include extraction and analysis.
• Demonstrated organizational skills to effectively manage assignments and workload.
• Demonstrated communication skills to clearly, concisely and accurately articulate intended message.
• Demonstrated presentation skills.
• Basic experience using Microsoft Office products.
• Demonstrated understanding of evidence to include types and the rules of evidence.
• Demonstrated experience working independently with minimal supervision.
• Extensive analytical skills and problem-solving skills; logical and sequential thinker.
Licenses
• Valid driver's license required plus an acceptable driving record.
Travel Requirements
• Up to 10%.
Physical Requirements
• Work that primarily involves sitting/standing.
Working Conditions
• Not applicable.
Additional Information- To ensure a strong start, all employees participate in our New Employee Orientation during their first week. This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth. At times, sessions may be delivered virtually based on scheduling and availability.
- Offer to selected candidate will be made contingent on the results of applicable background checks
- Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions
- Sponsorship will not be considered for this position unless specified in the posting
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
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