Senior Long Term Care Investigator

Manulife • Usa, NY

7d • Remote

About The Position

The Senior Long Term Care Investigator independently plans and conducts complex long-term care claims investigations and oversees investigative work performed by third-party surveillance vendors. The role involves gathering and reviewing evidence, interviewing insureds and other involved parties, communicating investigation progress and findings, and presenting recommendations to management and requesters. The investigator maintains accurate case records, manages concurrent assignments, and complies with departmental, company, and regulatory requirements.

When applicable, the investigator prepares and presents cases for referral to law enforcement, prosecutors, and regulators, and provides depositions or testimony in grand jury and court proceedings. The role may require short-notice travel and urgent responses. The investigator also stays current on investigative methods, information sources, industry developments, and applicable laws and regulations while building professional relationships and participating in training and industry organizations.

Requirements

• Bachelor’s degree required, preferably in Criminal Justice or a related field.
• Five or more years of experience in the investigation profession and/or financial services industry.
• High proficiency with computer applications, including Microsoft products.
• Advanced written and verbal communication skills.
• Advanced analytical skills.
• Advanced interviewing skills.
• Ability to work in a dynamic environment.
• Efficient and effective organizational skills.
• Strong presentation skills.

Nice To Haves

• Graduate work.
• Relevant designations or certifications, such as CFE, LTCP, or LOMA.
• Foreign language proficiency.

Responsibilities

• Complete high-quality, complex long-term care claims investigations.
• Independently develop and execute thorough investigative plans.
• Obtain and review internal and external documents to support investigative activity and findings.
• Interview insureds, caregivers, and other involved parties.
• Manage third-party vendors conducting long-term care surveillance activities.
• Regularly communicate findings and investigation status to requesters.
• Produce accurate, concise, objective written reports.
• Present case findings and recommendations for further action to department management and requesters.
• Use internal case management systems to update management and plan and prioritize concurrent assignments.
• Adhere to departmental, company, and regulatory timelines, policies, and requirements.
• When applicable, prepare and present cases for referral to law enforcement, prosecutors, and regulators, and provide depositions, grand jury testimony, and court testimony as required.
• Travel on short notice and respond to urgent long-term care claim investigations.
• Maintain knowledge of advanced investigative techniques, company and external information sources, financial services industry changes, applicable laws and regulations, and other relevant topics.
• Maintain and continuously expand a network of professional contacts.
• Attend training, read relevant trade journals, and actively participate in and present to professional organizations and associations.

Benefits

• Eligible employees may receive health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage.
• Adoption/surrogacy and wellness benefits.
• Employee and family assistance plans.
• Retirement savings plans, including pension and 401(k) savings plans, and a global share ownership plan with employer matching contributions.
• Financial education and counseling resources.
• U.S. paid time off includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law).
• Statutory leaves of absence.
• Incentive compensation tied to business and individual performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior