Senior Investigator – Special Investigations Unit

West Bend Insurance Company•Phoenix, AZ

2d•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.

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

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