Senior Investigator – Special Investigations Unit

West Bend Insurance Company•Phoenix, AZ

1d•Remote

About The Position

Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, commercial, and specialty lines of business. This is a fully remote/work from home role where you will spend up to 50% of your time in the field, servicing the state of Arizona. On occasion you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events. Insurance fraud isn’t just a cost of doing business—it impacts real people, real claims, and real trust. We’re looking for a seasoned investigator who knows how to connect the dots, challenge assumptions, and build cases that stand up to scrutiny. If you thrive on solving complex puzzles, working high-impact cases, and collaborating with experts across legal, claims, and law enforcement—this role puts you right at the center of it all. This isn’t routine casework. You’ll play a key role in detecting and preventing fraud at scale—helping ensure legitimate claims are paid fairly and quickly, while fraudulent activity is stopped in its tracks. Your work will have real impact, from internal decision-making to potential criminal prosecutions.

Requirements

8–10 years of experience in fraud investigation, SIU, claims investigation, or similar roles.
Advanced investigative skills, including evidence gathering, interviewing, and case development.
Strong knowledge of insurance lines (auto, property, workers’ compensation, etc.).
Excellent written and verbal communication skills.
Experience working with investigative tools, databases, and digital research methods.
Comfort using modern technology, including AI-enabled fraud detection tools.
A collaborative mindset and a drive to continuously learn and adapt.

Responsibilities

Lead and support investigations across a wide range of insurance lines—auto, property, casualty, workers’ compensation, and more.
Detect and investigate suspicious claims, underwriting activity, and policy irregularities.
Identify red flags, gather evidence, and document findings with precision and compliance.
Conduct deep-dive investigations into complex and high-exposure cases.
Lead major investigations into organized fraud schemes, partnering with legal teams and law enforcement.
Evaluate claims for inconsistencies—late reporting, questionable damages, billing anomalies, and more.
Develop and execute strategic investigative plans in collaboration with internal stakeholders.
Manage external vendors supporting investigative efforts.
Produce clear, compelling reports to support internal decisions and potential legal action.
Stay ahead of evolving fraud tactics, regulations, and investigative technologies.
Serve as a subject matter expert—training teams and mentoring fellow investigators.