Remote Insurance Investigator Jobs (NOW HIRING)

Description This position is currently scheduled for telework, but the incumbent may need to report to the office in Olympia a few times a year based on business and management needs. The ideal candidate for the Investigator 3 role within the Insurance Services Fraud Investigations Unit is a seasoned professionals with a strong background in complex fraud investigations, particularly within government benefit programs. They possess a deep understanding of investigative methodologies, including crossmatch technology, skip-tracing, and multi-source lead development.

Their experience enables them to navigate sensitive and high-stakes cases with discretion and precision, often involving multi-jurisdictional coordination and intricate schemes spanning multiple entities. This candidate demonstrate exceptional analytical acumen and a keen eye for identifying patterns of criminal activity, vendor fraud, and systemic malfeasance. They are adept at synthesizing data from diverse sources-public tips, agency referrals, and internal systems-to build comprehensive case files that support adjudication and enforcement.

Their investigative work is thorough, methodical, and aligned with the CCD's mission to safeguard the integrity of the Employment Security Department's benefit programs. Beyond technical expertise, the ideal candidate is a collaborative team player who contributes meaningfully to the unit's data collection and strategic efforts. They are committed to public service, uphold the highest ethical standards, and thrive in environments that demand critical thinking, resilience, and sound judgment.

Their work not only uncovers fraud but also strengthens the department's ability to prevent future losses. Duties Investigate cases of possible benefit and imposter fraud against the benefit programs administered by the Employment Security Department (ESD). This includes: Investigate complex cases of identity theft, workers compensation fraud, incarceration fraud, vendor fraud, tips from the public, death records, failure to respond issues, missing employer, and out of country issues Interview claimants, victims, and witnesses regarding identity theft, workers compensation fraud, incarceration fraud, vendor fraud, tips from the public, death records, failure to respond issues, missing employer, and out of country issues Conduct complex investigations involving more than one claimant, victim, and/or issue including those of possible or probable fraud Train and provide technical assistance to employers, claimants, and agency staff.

This includes: Develop and provide training and/or technical assistance to employers, claimants, and agency staff on state and federal fraud laws, rules, policies, and procedures under title 50 and 50A of the Revised Code of Washington Advise ESD claims staff of processes used in Fraud Prevention to identify fraud cases for referral to the Customer Compliance Division Investigations Unit Other duties as assigned. To request a detailed position description, click here. Qualifications 5 years equivalent education/experience as an investigator with a criminal justice government agency or private organization or other directly allied field Must include 3 years of field experience OR Two (2) years' experience as an Investigator 2 OR Equivalent education/experience Required equity competencies: The ability to take action to learn and grow The ability to take action to meet the needs of others The required experience includes: Organizational Skills: Ability to manage and track assignments effectively Data Management Expertise: Proficiency in maintaining accurate production records Conflict Resolution Expertise: Proficiency in employing alternative dispute techniques; Mediation Skills: Ability to resolve disputes amicably Process Improvement Expertise: Ability to refine investigative methods; Analytical Skills: Proficiency in assessing and enhancing investigative efforts Investigative Expertise: Ability to manage complex investigations; Attention to Detail: Proficiency in handling sensitive inquiries discreetly and accurately Initiative: Ability to address unanticipated organizational needs; Versatility: Proficiency in adapting to diverse responsibilities effectively Special Requirements/Conditions of Employment Must be able to pass an Unemployment Insurance (UI) and Paid Family Medical and Leave (PFML) claim and fraud check.

Please submit only the required documents as noted below and ensure all Personal Identifying Information (PII) such as Social Security numbers etc. are edited out of your materials for privacy. Additionally, we ask that you not include photographs or external links within your documents.

Any documents uploaded through this platform will be securely transmitted electronically to support application review. Please submit your Cover Letter and Resume with your Online Application through the "Add Attachments" field. A resume will not substitute for the "work experience" section of the application or vice versa.

Applications with blank fields, or supplemental question responses with comments such as "see attachments" may be considered incomplete. Supplemental Information Our agency's mission and values drive every decision that we make, determine how we interact with others, and are at the core of who we are. We value Access, Love, Belonging, Equity, and Stewardship.

We understand that a work environment that respects your work/life balance is key; that's why many of our positions are eligible for flexible work schedules and teleworking opportunities. Through support, value, and trust, our employees are empowered to grow and develop into their best self. Opportunity for All We strive to create a working environment that includes and respects cultural, ethnic, racial, religious, sexual orientation, and gender identity diversity.

Women, racial and ethnic minorities, people with disabilities, people over 40 years of age, people with religious beliefs, veterans or people with military status, and people of all sexual orientations and gender identities are encouraged to apply. The Employment Security Department is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.

If you are a person needing assistance in the application process, if you need this job announcement in an alternate format, or if you have general questions about this opportunity, please contact Caleb Baldwin or at 253-306-2999 or the Talent Acquisition Team, prior to the position closing. If you are having technical difficulties creating, accessing, or completing your application, please contact careershelp@des.wa.gov or (360) 664-1960 or toll free (877) 664-1960, Washington Relay 711. This recruitment may be used to fill additional agency-wide positions in accordance with Article 4 of the WFSE Collective Bargaining Agreement

**This Organization Participates in E-Verify**