Investigator

6 days ago


San Antonio, Texas, United States Diverse Lynx Full time
Job Title: Special Investigator Job Summary: We are seeking a highly skilled Special Investigator to join our team at Diverse Lynx LLC. As a Special Investigator, you will be responsible for executing fraud investigation cases, conducting regulatory reporting, and developing strategies to combat life company product fraud. Key Responsibilities: * Execute fraud investigation cases, including claims investigation, financial crime/fraud, Medicare supplement claims, and overall life company product fraud * Complete regulatory reporting requirements * Develop and maintain life company fraud trends and strategies * Manage fraud operational losses within approved risk appetite and perform fraud detection * Prepare and present detailed investigative reports summarizing results and recommended outcomes * Conduct investigation, resolution, and recovery activities * Participate in risk assessments and audits of fraud at life company Essential Skills: * High school diploma or general equivalency diploma * 2 years claims adjusting experience or SIU/Fraud Investigation experience, or 4 years prior investigative law enforcement or relevant fraud industry investigation experience * Proven investigatory skills * Ability to gather evidence and draw conclusions based on objective details * Proven ability to coordinate and prioritize workload * Familiarity with using computers and software packages * Knowledge of city, state, and local regulations, legal concepts, and medical terminology What We Offer: * Equal employment opportunity employer * Diverse workforce across all levels * Opportunity to work with a dynamic team How to Apply: If you are a motivated and detail-oriented individual with a passion for investigation, we encourage you to apply for this exciting opportunity.
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