Remote Insurance Fraud Investigator Jobs in Oregon

The next part of your journey is right around the corner - with The Standard.

A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?

Job Summary:

The Enterprise Investigative Consultant is responsible for protecting The Standard's assets, brand, customers, and reputation by investigating allegations of potential fraud. Identifies potential fraud cases through analysis of data and leveraging of technology. In this role, you will assist in the design, implementation & delivery of processes, programs and policies using specialized knowledge and skills.Additionally, you will lead and collaborate with internal and external stakeholders on investigations, trend analysis and risk mitigation.

Key Responsibilities:

• Proactively leads financial crimes, claims and fraud investigations with high complexity. Exercises independent discretion regarding investigative action plans and mitigation strategies. Documents and maintains case files and decision-making processes through detailed reports and after-action mitigation reviews.
• Designs and leads assessment of risks at the enterprise-level through use of risk assessments, data and advanced technology. Conducts investigative analysis of data and facts by applying appropriate tools (predictive analytics, trend analysis, FraudShare, evidence collection, forensic examination, etc.) Mentors lower-level staff on use of technology and investigative techniques.
• Use expertise to drive investigative results and consult with experts on leveraging technology to identify potential fraud and take appropriate actions. Drive efficient and effective operations through use of case management tools, automating processes, applying machine learning and predictive analytics. Provides direction to enterprise on fraud risks and mitigation plans based on investigation data.
• Consults and partner with Human Resources, Legal, Information Security and other stakeholders on internal and external investigative matters. Determines methods and procedures to identify weaknesses and improve controls.
• Provides feedback and training to enterprise stakeholders on fraud prevention and risk mitigation.

Skills & Background You'll Need:

Education: Bachelor's degree required (or) 12 years of investigative experience within law enforcement, military or related investigative service in lieu of degree.

Experience:

• Minimum of 10 years' complex investigative experience.
• Financial crimes, broker/ agent, mortgage or internal investigations experience (preferred).

Skills:

• Advanced technology skills (MS Office Suite) and utilization of technology resources to conduct research. (i.e. Link Analysis, PingOne Verify, TLO, Accurint, Voice Analytics, and Fraud Share).
• Strong analytical and problem-solving skills, with the ability to assess risk and implement effective solutions.
• Skilled in complex investigations across enterprise environments, using internal and external contacts, along with technology resources, to research, investigate, analyze data, and develop investigation reports.

Key Behaviors of a Successful Candidate:

Winning Together: Excellent verbal and written communication skills with the ability to build trust and effective partnerships both internally and externally at all levels including executive leadership. Viewed as a trusted SME with the ability to influence stakeholders and drive alignment across functions.

Driving Success: Strong organization and project management skills and the ability to effectively manage multiple initiatives simultaneously and consistently produce high-quality, impactful work product that helps mitigate risk for the organization.

Improvement Mindset: Proactively identifies trends and patterns and provides analysis and recommendations to stakeholders and decision makers, to define, implement, and deliver investigative results that will help mitigate future risk and take us "next level."

Adaptability: Adapts quickly to changing priorities and is comfortable with ambiguity and uncertainty driven by a fast-changing environment and new challenges. Ability to prioritize work, meet deadlines, achieve goals, and work under pressure in a dynamic and complex environment.

#LI-Remote

We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:

• A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions

• An annual incentive bonus plan

• Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure

• A supportive, responsive management approach and opportunities for career growth and advancement

• Paid parental leave and adoption/surrogacy assistance

• An employee giving program that double matches your donations to eligible nonprofits and schools

In addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about working at The Standard.

• Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.

The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.

Salary Range:

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on The Standard's property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. After any conditional offer of employment is made, the background check will include an individualized assessment based on the applicant's specific record and the duties and requirements of the specific job. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable.