Weekend Insurance Fraud Investigator Jobs in Michigan

Overview

Join us in revolutionizing an entire industry's customer engagement! We prioritize human connection through technology. If you're driven by purpose and want to make a meaningful impact on people's lives, this is the place for you. Our team challenges norms with the support of a trusted American brand.

Purpose: A leading professional services firm found that AAA Life associates demonstrate some of the highest levels of commitment, empathy, and dedication when compared to top U.S. companies in a benchmark analysis.

Growth: We have the privilege to offer our products to tens of millions of Americans that make up the AAA member base

Focus is on "working families", "everyday Americans", "ordinary citizens", "mainstream population" "average income households", providing life insurance products that truly impact people's lives (more information will be provided in the interview).

Team (Culture): USA Today named us a 2024 and 2025 top US workplace

Who are we looking for?

The Director, Enterprise Fraud Strategy & Investigations leads the enterprise-wide fraud prevention and detection strategy across all life insurance products and services. This senior leader will design, implement, and oversee a best-in-class fraud program that ensures regulatory compliance, protects company assets, and preserves stakeholder trust. The Director will partner cross-functionally to influence organizational strategy, drive innovation in fraud analytics, and lead high-impact investigations involving complex financial fraud, insurance fraud, and identity theft.

Responsibilities

How will you contribute?

Fraud Program Strategy & Governance

• Develop and oversee the enterprise fraud program including policies, procedures, and governance structures.
• Define the vision, roadmap, and performance metrics for fraud prevention and detection capabilities.
• Ensure alignment with regulatory expectations, industry best practices, and enterprise risk appetite.

Leadership & Team Development

• Lead and mentor a team of investigators, analysts, and program managers.
• Build a culture of integrity, accountability, and continuous improvement.
• Establish clear goals and performance indicators to drive individual and team success.

Investigations & Risk Mitigation

• Oversee complex and sensitive investigations related to claims misrepresentation, application fraud, identity theft, and internal fraud.
• Direct case prioritization, resource allocation, and escalation strategies.
• Collaborate with Legal, Compliance, HR, and Law Enforcement to ensure appropriate resolution and reporting.

Advanced Analytics & Detection Tools

• Lead efforts to evaluate, implement, and optimize advanced fraud detection tools (e.g., AI/ML, behavioral analytics, case management systems).
• Oversee the development of dashboards and reporting for executive leadership and board-level committees.
• Champion data-driven decision-making and continuous innovation.

Internal & External Partnership Management

• Serve as the company's subject matter expert and external liaison to NICB, IASIU, regulators, and industry task forces.
• Coordinate with Underwriting, Claims, Operations, and Technology to drive alignment on fraud controls.
• Represent the organization in regulatory reviews, audits, and legal proceedings as required.

Training & Awareness

• Oversee the design and delivery of fraud prevention training programs across the enterprise.
• Promote organizational awareness through internal communications, campaigns, and leadership engagement.

Qualifications

What do you offer?

• Bachelor's degree in Criminal Justice, Finance, Insurance, or related field; advanced degree or MBA preferred.
• Minimum of 10 years of progressive fraud investigation experience, including 5+ years in a leadership role within the life insurance industry.
• In-depth knowledge of life insurance products, the policy lifecycle, and regulatory frameworks.
• Certifications strongly preferred (e.g., CFE, FCLS, AHFI).
• Experience managing sensitive investigations, preparing executive-level reports, and testifying in legal/regulatory proceedings.
• Expertise in fraud detection platforms and data analytics tools (e.g., SAS, i2 Analyst Notebook, FRISS).

Preferred Attributes

• Law enforcement or regulatory liaison experience is a plus.
• Active involvement in industry fraud prevention organizations and a strong network of investigative contacts.

What can we offer?

• Enjoy a hybrid work environment that promotes work-life balance.
• Comprehensive medical, dental, and vision coverage starting from your first day.
• Employer 401k match and employer contribution to a pension plan.
• Generous PTO and paid parental leave to support your family needs.