Investigator II

Found in: Talent US 2 C2 - 7 days ago

Saint Petersburg, United States DelDOT Full time

Summary Statement

This position is responsible for the investigation of significantly complex allegations of insurance fraud in all lines of insurance including property and casualty, life, and healthcare. Additionally, the position involves interaction with the insurance industry, Federal, State and Local Law Enforcement as well as the Criminal Justice System.

Preferred Qualification

Applicants who do not possess the preferred qualification will still be eligible to compete for this position if job requirements are met. 1. Six months experience in conducting civil, criminal and administrative investigations.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of similar kind not specifically listed here. Conducts investigations of alleged or probable violations or compliance issues by identifying, obtaining, verifying, and analyzing relevant information or evidence.  Collects, controls, and evaluates evidence such as physical, financial, background, and other records, documents and items.  Formulates questions and conducts interviews to obtain information and ascertain facts from witnesses, complainants, victims or other parties.  Interprets, explains and ensures compliance with applicable state and federal laws, rules, regulations, standards, policies, and procedures. Makes judgments after evaluating all available facts and recommends appropriate action to authorities, commissions, or technical supervisors, and may take enforcement action as necessary.  Uses commercial and proprietary automated information systems, computer software, and the internet to research, document, verify and report on investigative/intelligence data and related information. Documents details of all calls, emails, inquiries, interviews, and other interactions during the investigation and may be assigned to respond to hotlines. Prepares and submits investigative reports that clearly and accurately document findings, supporting facts, and action taken. Testifies and presents evidence before boards, commissions, administrative bodies, or courts. Delivers excellent customer service to internal and external customers and the public in person, electronically, or by written communication. Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races. May conduct surveillance, undercover investigations, and on-site inspections on assigned cases; and may make arrests or obtain search warrants pertaining to an investigation. May make recommendations to subpoena information.

Job Requirements

JOB REQUIREMENTS for Investigator II Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

One year of experience in conducting investigations which may include conducting interviews to obtain confidential information, gathering evidence, and documenting findings.  One year of experience in collecting, evaluating and analyzing relevant information to make recommendations on alleged or probable violations of state or federal laws, rules and regulations.  One year of experience in providing clear, prompt and accurate information to respond to and resolve complaints. Six months' experience in civil, criminal or administrative proceedings such as providing testimony before boards/commissions/authorities, preparing evidence/sworn statements, or managing and prioritizing cases.

Conditions of Hire

Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S.

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