What are the responsibilities and job description for the Special Investigator I position at MEMIC?
MEMIC is a safety company; therefore we require all employees to be fully vaccinated for COVID-19, unless an employee is allowed an exemption from this requirement due to a reasonable accommodation for legally protected medical or religious reasons.
The Special Investigator I performs activity checks, investigates claims to verify disability and ability to work, as well as, investigates cases of possible abuse or fraud involving employees, employers, agents, brokers, medical providers and attorneys.
Principal Duties and Responsibilities:
- Conducts activity checks and surveillance on claims to verify continuing disability and
inability to work. - Investigates cases of possible abuse and fraud.
- Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, Loss Control and Underwriting, general public and various regulatory agencies, state and federal when necessary to conduct and complete the investigation.
- Works with claims staff and defense counsel on litigated cases and attends mediation, arbitration or hearings to give testimony.
- Works with claims staff to prepare cases involving fraud for presentation to the Abuse Unit of the Workers’ Compensation Board and the attorney general’s office or other appropriate agency.
- Keeps up to date on various state and federal laws as they pertain to assigned duties, to ensure that all activities are conducted according to the law and to the highest standards of professional conduct.
- Completes investigative and surveillance reports, as well as, an investigative detail report on each case assigned and maintain copies.
Requirements:
- Bachelor’s Degree with two to three years’ experience or equivalent experience in law Enforcement required.
- Private Investigator license or ability to obtain within 90 days of employment.
- Ability to use various pieces of office equipment, such as dictation equipment, facsimile, computer.
- Ability to operate a video camera, digital communications and recording devices, television and Videocassette Recorder (VCR).
- Must have valid Maine driver’s license.
- Strong attention to detail a must.
- Must be able to handle demanding situations.
- Must have strong verbal and written communication skills.
Our comprehensive benefits package includes all traditional offerings such as:
- Health Insurance options, Dental Insurance options and Vision Insurance
- Employee Life Insurance/AD&D and Dependent Life Insurance options
- Short-term & Long-term Disability
- Health Savings Account with potential employer match
- Flexible Medical and Dependent Care Account
- Accident Insurance
- Critical Illness Insurance
- Employee Assistance Program
- Legal/Identify Theft Insurance options
- Long Term Care Insurance
- Pet Insurance
- 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
- 5 weeks of Paid Time Off (PTO)
- 7 paid holidays
We also offer other benefits to help foster a healthy, balance lifestyle such as:
- Flextime schedules
- Paid Parental Leave
- Student loan paydown and refinancing assistance
- Educational assistance for job related courses, seminars, certifications or degrees
- One paid day every year to volunteer for your non-profit of choice
- On-site fitness center (Maine & Virginia) or fitness reimbursement
- Subsidized parking
- Sit-Stand desks & daily stretch breaks
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.
