Fraud Investigation Specialist

2 weeks ago

Santa Barbara, California, United States The Ladders Full time
FRAUD INVESTIGATION SPECIALIST

Locations: Multiple States

SALARY: $85,000 TO $95,000 Annually

Join our dedicated and collaborative team where your efforts will be recognized and appreciated.

ABOUT US:

At The Ladders, we are a leading insurance provider committed to delivering a comprehensive range of insurance solutions. Our goal is to be the most esteemed insurance provider in the nation, and that respect begins with our employees.

POSITION OVERVIEW:

The Fraud Investigation Specialist will provide extensive investigative support services throughout the organization. This role involves examining both proactively generated and referred cases through various methods, including but not limited to: analyzing and confirming recognized indicators of suspicious claims, creating investigation strategies, conducting background checks and social media research, performing in-person recorded interviews, executing on-site investigations, collaborating with law enforcement, managing outsourced investigative resources, attending examinations under oath, preparing investigative reports, and fulfilling compliance reporting requirements.

KEY RESPONSIBILITIES:

The following outlines essential functions for this role, but does not limit other tasks that may be assigned. Management may allocate or reassign duties and responsibilities at any time due to reasonable accommodation or other considerations.

Responsibilities include, but are not limited to:
  • Providing expert consultation for claims and underwriting teams, along with a wide range of investigative support services.
  • Conducting field and desktop investigations of both proactively generated and assigned referrals to address identified suspicious claim indicators.
  • Completing background checks and social media investigations, utilizing company-approved databases and online resources.
  • Traveling within the state of residence and to other states for assignments and business-related matters.
  • Gathering information and evidence through on-site investigations, interviews, and other field activities.
  • Participating in examinations under oath in collaboration with business partners as necessary.
  • Documenting detailed investigative notes that outline actions taken, status updates, and findings.
  • Analyzing and completing necessary compliance reporting to appropriate authorities.
  • Completing assignments accurately and promptly in accordance with company standards.
  • Identifying complex issues and seeking assistance from management and other resources as needed.
  • Collaborating with internal teams through various communication methods.
  • Overseeing outsourced investigative entities and experts.
  • Meeting mandatory training requirements and maintaining necessary licenses and certifications.
  • Adhering to company guidelines and meeting key performance metrics.
MINIMUM QUALIFICATIONS:
  • At least three years of experience in fraud investigation or equivalent investigative roles.
  • Understanding of various insurance policies and endorsements.
  • Possession of a valid driver's license with a satisfactory driving record.
  • Access to a vehicle for investigative fieldwork.
  • Availability for overnight travel for business purposes.
  • Strong business judgment, communication skills, and analytical abilities.
PREFERRED QUALIFICATIONS:
  • A four-year degree in criminal justice, law, or a related field; or equivalent experience in law enforcement or military service.
  • Proficiency in Microsoft Office applications.
  • Experience with industry databases.
  • Expertise in social media and open-source intelligence investigations.
  • Advanced skills in data analytics and trend analysis.
  • Relevant professional designations.
  • Background in criminal or fire investigations.
  • Experience managing outsourced investigation vendors.
COMPETENCIES:
  • Problem Solving: Ability to identify and resolve issues promptly.
  • People Skills: Focus on conflict resolution and maintaining confidentiality.
  • Customer Service: Effectively managing challenging customer situations.
  • Teamwork: Collaborating with others to achieve common goals.
  • Adaptability: Adjusting to changes in the work environment.
  • Ethics: Upholding integrity and organizational values.
We invite you to explore a rewarding career with The Ladders.

Employment offers are contingent upon successful completion of background checks and drug screening.

The Ladders is an equal opportunity employer.

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