Special Claims Desk Investigator

Great American Insurance Group•OH Work at Home, OH

3d•$70,000 - $80,000•Remote

About The Position

Great American Insurance Group's Special Investigation Unit (SIU) is seeking a Special Claims Desk Investigator to join their Major Case Unit team. This role will be fully remote. The SIU's mission is to prevent, detect, and investigate instances of potential insurance claims fraud, working collaboratively with business units to ensure proper handling and reporting of fraudulent claims while upholding high professional standards. The company culture emphasizes inclusivity, empowerment, and enabling employees to perform at their best, combining a small-company feel with big-company expertise.

Requirements

Bachelor’s Degree or equivalent experience.
Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience.
This job is non-exempt in California and Washington.

Nice To Haves

Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.

Responsibilities

Conducts specific investigations for claims cases involving suspected ring activity.
Investigates all suspect fraud referrals.
Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
Identifies trends and patterns of suspected fraudulent activity.
May personally handle field investigations or assign field work (i.e., surveillance, statements, etc.) to independent investigation firms.
Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.
Prepares investigation reports and detailed comprehensive reports.
Evaluates claims and recommends courses of action to management.
May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
May provide guidance to less experienced staff and serve as a resource to other functional areas.
Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations.
May participate in identifying enhancements to improve performance and functionality of technology applications.
May participate in testing the application.
Performs other duties as assigned.