Claims Fraud Investigator (Special Investigations)

MABSTOA

New York, NY

Expired: 21 days ago Applications are no longer accepted.

Full-Time

Job Description

Job Information

Title: Claim Fraud Investigator - JVN 7127

First Date of Posting: 04/26/2024

Last Date of Filing: 05/11/2024

Authority: OA/TA

Department: Law

Division/Unit: Special Investigation Unit

Reports to: Director, Special Investigation Unit

Work Location: 130 Livingston Street, Brooklyn, NY

Hours of Work: As required

Compensation:

Claim Fraud Investigator (Grade H, 342 points): $71,142 - $112,450

Responsibilities:

Detect and investigate claims frauds and conduct investigations through fieldwork, research, surveillance, and other means, including joint investigations with law enforcement agencies and insurance carriers.
Assist in the training of claims examiners to recognize suspicious claims activity.
Claims include workers' compensation, no-fault, bodily injury, and property damage.
Strong knowledge of medical fraud.
Participate in undercover investigations.
Seek remedies against those committing fraud, including referral to prosecutors for criminal prosecution as well as assisting the Law Department in pursuing civil remedies.
Maintain cooperative and productive relationships with enforcement agencies, insurance carriers and organizations dedicated to combating claims fraud.

Education and Experience

Claim Fraud Investigator

Bachelor’s degree in a related field. An equivalent combination of education and experience may be considered in lieu of a degree.
Minimum 3 years related experience, including at least 2 years in a managerial and/or supervisory role.

Desired Skills

Knowledge in insurance claims and/or claims fraud investigations and/or law enforcement detective experience.
Experience using social media in the conduct of investigations.
Undercover investigation and/or white-collar crime investigation experience.
Strong written and verbal-communications skills.

Selection Method:

Based on evaluation of education, skills, experience, and interview.

Other Information

Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the “Commission”).

Equal Employment Opportunity

MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities. The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.