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Fraud Investigation Specialist

2 months ago

Albany, New York, United States Delta Group Full time
Job Title: Special Investigation Unit InvestigatorCompany: Delta Group

Delta Group stands as a leading investigative organization with a legacy of over 40 years, dedicated to uncovering and mitigating fraudulent claims across diverse insurance sectors. As a Special Investigation Unit Investigator, you will be integral in executing comprehensive investigations to uphold the integrity of insurance claims.

Key Responsibilities:
  • Conduct thorough investigations, including interviews and meticulous documentation of findings.
  • Provide consistent updates to case managers and clients regarding investigation progress.
  • Uphold confidentiality and maintain a high level of professionalism throughout the investigative process.
  • Formulate detailed investigative action plans tailored to each case.
  • Assess evidence critically and offer informed recommendations.
  • Engage collaboratively with industry professionals and regulatory bodies.
Qualifications:
  • Demonstrated investigative skills with a keen eye for detail.
  • Proficient in recognizing patterns indicative of fraudulent activities.
  • Exceptional communication and organizational abilities.
  • Familiarity with investigative software and tools.
  • Prior experience in claims and SIU investigations is advantageous.
Essential Equipment:
  • Laptop Computer
  • Cell Phone
  • Audio Recording Device
  • Digital Camera
  • Tape Measure
Educational Background:
  • Preferred certifications include CFE or FCLS.
  • A minimum of 5-10 years' experience in claims investigation is required.