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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 dedicated to the prevention and investigation of insurance fraud and related criminal activities.

With a membership that encompasses over 1,200 insurance firms, vehicle rental services, auto auctions, and various strategic partners, NICB employs nearly 400 professionals who collaborate with law enforcement, government entities, and international organizations to combat insurance fraud effectively.

A career at NICB offers a fulfilling opportunity for individuals passionate about making a significant impact in the fight against insurance fraud and vehicle-related crimes. Our workforce is our greatest asset, and we pride ourselves on providing an exceptional work environment.

Role Purpose:

This role acts as the primary liaison between NICB and its member organizations as well as law enforcement agencies, offering expert guidance on the prevention and investigation of insurance-related crimes within designated regions. The Insurance Fraud Investigator is tasked with initiating and executing investigations aimed at dismantling organized crime rings, facilitating arrests, mitigating losses, and reducing instances of insurance fraud. This position operates as the investigative branch of NICB, working in tandem with member companies and law enforcement to address insurance-related criminal activities.

Work Environment:

This is a field-based role, requiring travel within an assigned Area of Responsibility (AOR) to fulfill job duties effectively.

Key Responsibilities:

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

Qualifications:

  • Recognized as a functional expert in the field.
  • Demonstrated sustained high performance.
  • Ability to interact effectively with diverse individuals.
  • Capacity to exercise discretion and independent judgment in significant matters.
  • Ability to work autonomously under pressure.
  • Willingness to travel as required.
  • Strong written and verbal communication skills.
  • Exceptional organizational abilities.
  • Sound decision-making capabilities.
  • Proficient in operating and maintaining NICB-issued equipment, including the ability to drive 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.

Contacts:

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

Work Environment and Physical Demands:

  • Operates in an unstructured environment.
  • Requires coverage of a broad geographical area with minimal direct supervision.
  • Involves physical activities such as squatting, climbing, and stooping.
  • May necessitate lifting up to 25 pounds.
  • Travel is an essential component of the role.
  • A valid driver's license is required to operate a company vehicle.

Compensation:

The salary for this position is $65,000.

Benefits:

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

NICB is an Equal Opportunity Employer and is committed to creating a work environment free from discrimination and harassment of any kind.