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Insurance Fraud Investigation Case Manager
2 months ago
Join Lemieux & Associates LLC, a prominent player in the investigative sector, as we seek a skilled Insurance Fraud Investigation Case Manager to enhance our operations team. This full-time, remote role is designed for an individual with a strong background in claims management. Our leadership team comprises seasoned investigators who are committed to fostering a motivating and supportive work environment, capable of building and guiding high-performing teams.
Key Responsibilities:
The Insurance Fraud Investigation Case Manager will report directly to the Senior Case Manager and will play a crucial role in overseeing a dedicated group of field investigators and an Assistant Case Manager. The primary objective is to ensure the delivery of top-notch investigative services to our clients promptly. This will involve effective planning, resource management, and ongoing training of the team.
Essential Duties:
- Supervise and guide investigative field personnel to cultivate a motivated, quality-driven team adept at handling various insurance claims, including workers' compensation, general liability, and property claims.
- Maintain a productive and quality-focused unit by implementing effective training and performance management strategies, ensuring that all staff meet established productivity and quality benchmarks.
- Conduct thorough quality control assessments of investigative outputs, ensuring adherence to client specifications and timely completion of case objectives.
- Communicate effectively with field staff and clients regarding case progress, providing recommendations for further actions as necessary.
- Uphold confidentiality standards for all information gathered during investigations.
- Stay updated on industry knowledge and skills through continuous education and participation in relevant seminars and organizations.
- Provide testimony in legal settings as required based on investigative findings.
- Undertake additional tasks and projects as directed by management.
Required Skills and Qualifications:
- In-depth knowledge of investigative methodologies essential for managing complex insurance investigations.
- Exceptional communication and interpersonal skills.
- Strong organizational abilities and time management skills, with a proven track record of effectively managing work assignments.
- Creative problem-solving skills and the ability to identify opportunities.
- Proficient in Microsoft Office, Internet Explorer, Adobe Acrobat, and case management software.
Educational Background:
- A bachelor's degree in criminal justice or a related field is preferred.
- A minimum of five years of experience in conducting intricate insurance investigations is required.
- At least three years of supervisory experience is essential.
- Possession of a private investigator's license or eligibility for licensing in relevant states.
- Willingness to travel as necessary.
Work Environment:
This position primarily involves working in an office environment. The role requires prolonged periods of sitting and computer use, along with regular communication with supervisors, clients, and team members through various channels.
