Insurance Fraud Investigator Jobs in Wisconsin (NOW HIRING)

Position Purpose:

This position serves as the primary NICB contact with member companies and law enforcement agencies providing advice on preventing and combating insurance related crime and fraud in their designated geographical areas. Special Agents are responsible for initiating and conducting investigations which result in the dismantlement of organized groups/rings, arrests of those involved, loss mitigations, restitution, and reduction of insurance fraud. The position functions as the investigative arm of the NICB, working in cooperation with member companies, law enforcement and other associated agencies to combat insurance related crime.

Work Arrangement and Description:

• This is a field position which means that the individual is assigned to an Area of Responsibility (AOR) and must travel within that AOR in order to fulfill their job responsibilities. The individual will be assigned to cover the entire state of Wisconsin with a majority of the work in the Greater Milwaukee area.

Responsibilities:

• Conducts timely and thorough, multi-claim, multi-carrier criminal investigations.
• Collects, analyzes, and calculates relevant data for use in investigations.
• Properly documents all phases of investigative activity.
• Prepares summary investigative presentations for submission to law enforcement/prosecutor.
• Represents NICB in criminal court as requested, often testifying as an expert witness.
• Serves as liaison with member companies, law enforcement and government agencies to promote and provide the full range of NICB services.
• Functions as a “technical” expert in fraud investigations and identifying insurance fraud schemes/claim file review.
• Maintains membership in appropriate professional organizations.
• Works well with others in a Task Force environment / a team player.
• Establishes and maintains business relationships with member companies, law enforcement, regulatory agencies and vendors.
• Provides comprehensive training to member companies and law enforcement on related insurance crime matters.
• Identifies potential new member customers.
• Other duties as assigned.

Requirements:

• Bachelor’s degree or 7-10 years of equivalent experience required
• Valid Driver’s license required
• 3-5 years of related investigative experience required
• Insurance industry or law enforcement experience preferred

Skills and Abilities:

• Recognized functional expert.
• Above average performance sustained over time.
• Ability to interface successfully with a variety of people.
• Ability to continually exercise discretion and independent judgment in matters of significance.
• Ability to work independently under pressure.
• Capacity to travel.
• Good written and verbal communication skills.
• High level of organization skills.
• Sound decision making skills.
• Operate and maintain NICB issued equipment, including the ability to drive a company vehicle.

Supervisory Responsibilities:

This position has no direct reports.

Contacts:

• All levels of NICB employees
• Law Enforcement and Prosecutors at all levels
• Member Company Personnel

Environment/Physical Demands:

• Works in an unstructured environment
• Covers a wide geographical area with little or no direct onsite supervision.
• Squatting, climbing, stooping
• May be required to lift up to 25 pounds
• Travel required
• Must possess valid driver’s license and be able to drive a company vehicle.

Salary Range and Statement:

The salary range for this position is $66,750 to $73,330. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors including the specific requirements for this position, the candidate's geographic location, job-related skills, experience, and relevant education or training. NICB HR can share more about the specific salary range for your geographic location during the hiring process.

Benefits:

Our benefits are unparalleled! NICB offers employees a comprehensive benefits package, an attractive 401(k) plan and generous paid time off. For more information, visit https://www.nicb.org/about-nicb/careers.

The NICB is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: NICB is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at the NICB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.