Entry Level Insurance Fraud Investigator Jobs in Riverside, CA

1. Conducts objective, fair, thorough, unbiased, and timely investigations into suspected violations of Applicable Law with respect to the Nation's operation of Gaming Activities on Tribal Lands, the Gaming Facility, the Gaming Operation, or the Gaming Commission including potential licensing or internal control violations and provides actionable recommendations to senior management within specified deadlines. Develops and implements an investigative plan, prepares and conducts interviews, reviews video and completes a comprehensive investigative report.
2. Collaborates and supports other departments through video review, and provides information acquired through investigative efforts and data analytics.
3. Proactively collects, analyzes, and interprets data from systems and databases associated with the Gaming Operation and/or Gaming Facility to investigate possible violations of law and ensure regulatory compliance.
4. Conducts research using open-source intelligence to improve investigative depth, educate, and to identify vulnerabilities to the Gaming Facility, Gaming Operation, patrons, and the Nation.
5. Performs other duties as assigned to support the ecient operation of the department.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

• Bachelor's Degree with an emphasis in Accounting or Business Administration, Security Management, Administration of Justice, Public Administration or related field required.

• Minimum two (2) years' experience in state or federal law enforcement and/or other surveillance or investigation experience required.

• Minimum two (2) years' experience conducting complex financial investigations preferred.

• Related, relevant, and/or direct experience may be considered in lieu of minimum educational requirements indicated above.

KNOWLEDGE, SKILLS AND ABILITIES (KSA)

• Knowledge of Gaming regulations (i.e. National Indian Gaming Commission's Minimum Internal Controls for Class III & II Gaming (NIGC MICS), the U.S. Bank Secrecy Act, the Tribal-State Gaming Compact, Tribal Gaming Ordinances, and Tribal Gaming Regulations preferred.

• Excellent case management and written communication skills.

• Excellent computer skills and mastery of MS Office Suite, including Word, Excel, PowerPoint preferred.

• Upholds honesty and ethics, demonstrating exceptional integrity and confidentiality.

• Excellent interpersonal and communication skills, with the ability to effectively engage with Casino Management, the Legal Department, and law enforcement.

• Must be able to extract, read, and interpret data obtained from systems and databases maintained as part of the Gaming Operation and/or Gaming Facility.

• Knowledge of camera surveillance systems in a casino and/or other environment.

LICENSES, CERTIFICATIONS AND REGISTRATIONS

• At the discretion of the San Manuel Tribal Gaming Commission, you may be required to obtain and maintain a gaming license.

• Certification in a related field such as Certified Fraud Examiner, Certified Anti-Money Laundering Specialist or Certified Forensic Interviewer preferred.

• Driving Responsibilities: Role requires regular commuting between locations. A valid driver's license and vehicle insurance with minimum liability limits is required. Role will not operate or drive Tribe-owned vehicles or patron vehicles.

PHYSICAL REQUIREMENTS/ WORKING CONDITIONS - ENVIRONMENT

The physical demands and working environment described here are representative of those that an employee encounters and must be met by an employee to successfully perform the essential functions of this job.

• Primary work environment is in a climate-controlled office setting.

• Work requires travel to attend meetings, trade shows, and conferences.

• Incumbents may be required to work evening, weekend and holiday shifts.

• Must be able to work in a fast-paced, high-demand environment.

• Strength sufficient to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects and/or move up to 40 pounds occasionally.

• Sedentary work: involves sitting most of the time. Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.

• Physical activities that apply to the essential functions of the position are balancing, stooping, kneeling, crouching, reaching, pushing, pulling, lifting, grasping, talking, hearing, and repetitive motions.

• Hearing sufficient to hear conversational levels in person, via videoconference and over the telephone.

• Speech sufficient to make oneself heard and understood in person, in front of groups, in meetings, via videoconference and over the telephone.

• Visual acuity that meets the requirements of the position: The worker is required to have close visual acuity to perform an activity such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; expansive reading and visual inspection of employees, visitors or facility.

• Mobility sufficient to safely move in an office environment, walk, stoop, bend and kneel, and enter, exit and operate a motor vehicle in the course of travel to promotional events, meetings, conferences, trade shows and San Manuel properties.

• Endurance sufficient to sit, walk and stand for extended periods, and maintain efficiency throughout the entire work shift and during extended work hours.

• The employee may be exposed to fumes or airborne particles including secondhand smoke.

Reasonable accommodation will be made in compliance with all applicable law.