What are the responsibilities and job description for the Special Investigator position at Assurant?
The Special Investigator protects the assets of the organization by avoiding the payment of fraudulent claims in accordance with the applicable law and policy provisions. Gather facts of the loss without exposing the company to bad faith damages.
This is a work from home position, however ideal candidate must be located in Central or North Florida.
Job Responsibilities
Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision.
Conducts COMPLEX RECORDED INTERVIEWS to validate a claim or identify persons or organizations that are involved in suspicious related activities.
Maintains assigned claims files in confidential manner and ensures that all relevant facts pertaining to the files are documented in the appropriate claims handling system.
Ensures that assigned cases are investigated and reported back to the requesting party in adherence to Special Investigation Unit Best Practice.
Concludes investigation and prepares investigative reports in adherence to Special Investigation Unit Best Practices.
Initiates referrals to State Insurance Department, Fraud bureaus and NICB when a suspicious or fraudulent activity has been identified.
Maintains investigative databases.
Assist all Assurant subsidiaries and accounts with investigations. Works with state fraud bureaus, law enforcement agencies and other special investigative units in combating insurance fraud with direction from Special Investigator II and Senior Investigator.
Performs other duties as assigned.
Analyzes results of investigations to determine course of action documents activities of claims handling practices.
Conducts interviews and obtains detailed recorded statements from all involved parties.
Requests, prepares, documents, and may conduct examinations under oath and/or sworn statements including those involving attorney representation.
Conducts thorough searches using investigative databases, internal resources, internet resources, and public records to locate parties and collect evidence to determine if potential fraud exists.
Obtains, evaluates, and summarizes law enforcement reports, credit reports, medical documentation, and affidavits in relation to loss including documentation from required parties in accordance with state and federal regulations.
Present investigative findings through written reports and recommends whether to take further actions.
Testifies at depositions, hearings, and trials.
Develops and maintains a rapport with local information networks to include law enforcement, vendors, and industry experts.
Qualifications/Requirements:
Bachelor’s Degree in Criminal Justice, Business or Criminal Justice Degree in Basic Law Enforcement from accredited college is required.
Minimum of five years in a Special Investigation Unit/Private Investigation experience and Insurance Claims experience.
Preferred Experience, Skills, and Knowledge:
Working knowledge of special investigative techniques. Effective communicator with analytical skills. Strong knowledge of researching databases is required.
Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
Demonstrated ability to manage relationships with both internal and external customers.
Demonstrated ability to work effectively independently and within a collaborative team-oriented environment using sound judgment in decision-making.
Excellent communication skills both oral and written skills with strong analytical skills to investigate insurance fraud.
Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and claims related software programs.
Ability to work in a fast-paced environment.
Handle high volume of investigations and remain timely on status reports.
Assurant is a global provider of lifestyle and housing solutions that help leading brands grow revenue, manage risk and deliver a great experience for their customers. We protect, connect, and support over 300 million consumers worldwide, helping people get more value from their connected devices, vehicles, and homes. Assurant is a proud member of the Fortune 300, with decades of experience in the industries we serve.
For more information, please visit https://www.assurant.com/
Assurant is committed to providing a competitive rewards package which goes beyond the value of your paycheck. We offer an array of market-competitive benefits and resources to support your physical, emotional, financial, and social wellbeing goals. These include programs to help you invest in your financial future such as savings programs, as well as competitive health and wellbeing benefits to support you and your family.
Health Coverage Starting Day One: We offer competitive health and wellbeing benefits to support you and your family. You can choose from a range of health and dental plan options, as well as health plan accounts.
Disability and Life Insurance: We provide short- and long-term disability insurance, life and accidental death and dismemberment insurance.
Retirement: Assurant offers retirement savings plans globally. U.S. based employees are offered a 401(k) plan in which Assurant matches 100% of every dollar contributed, up to 6 percent of eligible pay.
Employee Stock Purchase Plan: Assurant’s Employee Stock Purchase Plan (ESPP) allows employees to purchase shares of Assurant, Inc. stock at a 10 percent discount with funds contributed through after-tax payroll deductions.
Career Development: Assurant offers a variety of internal courses, workshops, special projects, coaching and mentoring programs. Tuition reimbursement and other professional enrichment opportunities are also available to encourage continuous learning.
Work-Life Balance: We strive to provide a work environment that encourages work/life balance. Options depend on job responsibilities and may include flexible work schedules, telework, paid time off and part-time employment.
Equal Opportunity Statement
Assurant is an Equal Employment Opportunity employer. All aspects of consideration for employment and employment with the company are governed on the basis of merit, competence and qualifications without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or any other category protected by federal, state or local law.
