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Insurance Fraud Investigator

2 months ago

Concord, New Hampshire, United States National Insurance Crime Bureau Full time
Job Overview

The National Insurance Crime Bureau (NICB) stands as the leading non-profit organization in the United States dedicated to the eradication of insurance fraud and related criminal activities.

With a membership comprising over 1,200 insurance firms, vehicle rental services, auto auctions, financial institutions, self-insured entities, and strategic allies, NICB collaborates with nearly 400 professionals who engage with law enforcement, technological experts, governmental representatives, prosecutors, and international crime-fighting bodies to foster a unified approach against insurance fraud and crime.

A career at NICB is both rewarding and fulfilling for individuals passionate about making a significant impact in the fight against insurance fraud and vehicle-related crimes. We recognize that our personnel are our greatest asset, which is why we cultivate an exceptional work environment.

Role Objective:

This role acts as the primary liaison between NICB, member organizations, and law enforcement, offering guidance on strategies to prevent and address insurance-related fraud and crime within designated regions. Special Agents are tasked with initiating and executing investigations that lead to the dismantling of organized crime groups, apprehending offenders, mitigating losses, securing restitution, and reducing instances of insurance fraud. This position operates as the investigative branch of NICB, collaborating with member organizations, law enforcement, and other relevant agencies to tackle insurance-related criminal activities.

Work Structure and Expectations:

This is a field-based role, requiring the individual to be assigned to a specific Area of Responsibility (AOR) and travel within that area to fulfill job duties.

Key Responsibilities:

  • Conduct comprehensive and timely investigations involving multiple claims and carriers.
  • Gather, analyze, and interpret relevant data to support investigations.
  • Document all stages of investigative processes meticulously.
  • Prepare detailed investigative reports for submission to law enforcement and prosecutors.
  • Represent NICB in court proceedings as necessary, often serving as an expert witness.
  • Act as a liaison with member organizations, law enforcement, and governmental bodies to promote NICB's full range of services.
  • Serve as a technical expert in fraud investigations and the identification of fraudulent schemes.
  • Maintain active membership in relevant professional organizations.
  • Collaborate effectively in a Task Force environment as a team player.
  • Establish and nurture professional relationships with member organizations, law enforcement, regulatory bodies, and vendors.
  • Provide extensive training to member organizations and law enforcement on insurance crime issues.
  • Identify potential new member organizations.
  • Perform additional duties as assigned.

Qualifications and Skills:

  • Recognized as a functional expert in the field.
  • Consistent above-average performance over time.
  • Ability to engage effectively with diverse individuals.
  • Demonstrated discretion and independent judgment in significant matters.
  • Capacity to work autonomously under pressure.
  • Willingness to travel as required.
  • Strong written and verbal communication skills.
  • Exceptional organizational abilities.
  • Sound decision-making capabilities.
  • Ability to operate and maintain NICB-issued equipment, including driving a company vehicle.

Education and Experience:

  • Bachelor's degree or 7-10 years of equivalent experience is required.
  • A valid driver's license is mandatory.
  • 3-5 years of relevant investigative experience is required.
  • Experience in the insurance sector or law enforcement is preferred.

Supervisory Role:

This position does not have direct supervisory responsibilities.

Contact Points:

  • All levels of NICB personnel.
  • Law enforcement and prosecutors at various levels.
  • Personnel from member organizations.

Work Environment and Physical Requirements:

  • Operates in an unstructured environment.
  • Covers a broad geographical area with minimal direct supervision.
  • May involve squatting, climbing, and stooping.
  • Must be able to lift up to 25 pounds.
  • Travel is a requirement.
  • A valid driver's license is necessary to operate a company vehicle.

Compensation:

The salary for this position is $65,000.

Benefits:

NICB offers an extensive benefits package, including a competitive 401(k) plan and generous paid time off.

NICB is an Equal Opportunity Employer and is committed to fostering a workplace free from discrimination and harassment of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity, marital status, military service, or any other status protected by law.