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Special Investigator
2 months ago
We are seeking a highly skilled and experienced Special Investigator to join our team at Genworth. As a Special Investigator, you will play a critical role in preventing and reducing fraud, as well as identifying, investigating, and prosecuting fraudulent activities.
Key Responsibilities- Conduct thorough investigations of potential Long Term care (LTC), life, annuity, and agent insurance fraud
- Mine for suspect claims where red flags are present and refer them to the Special Investigative Unit (SIU) for further investigation
- Collaborate with various functional departments, including claims and underwriting, to develop and implement effective fraud prevention plans
- Establish and maintain relationships with vendors, such as surveillance companies
- Identify potentially fraudulent claims and conduct detailed investigations
- Write concise and detailed reports summarizing investigation findings
- Establish external relationships with industry, law enforcement, and other contacts involved in fraud investigations, detection, and prevention
- Attend industry training conferences to stay up-to-date on regulatory requirements
- Provide investigative support to sales, legal, compliance, operations, and claim staff
- Perform other responsibilities as assigned by SIU management or the legal department
- An Associate's or Bachelor's degree in criminal justice or a related field, or 7 years of professional investigation experience involving economic or insurance matters
- 5 years of experience with a special investigation unit in the insurance or financial services industry, or 5 years of law enforcement investigative experience with an emphasis on investigations
- Ability to work effectively with diverse internal and external functional groups
- Working knowledge of life, annuity (variable & fixed), and Long Term care insurance products
- Ability to identify appropriate resources and investigative strategies
- Ability to work independently and within a collaborative team-oriented environment
- Ability to apply sound judgment when making decisions and work well in a deadline-driven and changing environment
- Strong organizational skills with the ability to prioritize and manage multiple tasks concurrently and complete them in a timely manner
- Strong communication skills (verbal and written)
- Ability to apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements
- Competitive compensation and total rewards incentives
- Comprehensive healthcare coverage
- Multiple 401(k) savings plan options
- Auto enrollment in an employer-directed retirement account feature (100% employer-funded)
- Generous paid time off, including 12 paid holidays, volunteer time off, and paid family leave
- Disability, life, and long-term care insurance
- Tuition reimbursement, student loan repayment, and training and certification support
- Wellness support, including gym membership reimbursement and employee assistance program resources (work/life support, financial, and legal management)
- Caregiver and mental health support services
