Insurance Fraud Investigator
Insurance Fraud Investigator
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Job Description
The work we do matters!
Hiring Agency:
Insurance - Agency 22
Location:
Hiring Rate:
Job Posting:
Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):
Job Description:
Pay Range based on experience and qualifications $25.024 to $36.888
Look at what we have to offer!
13 paid holidays
Vacation and sick leave that begin accruing immediately
Military leave
156% (thats not a typo!) state-matched retirement
Tuition reimbursement
Employee assistance program
79% employer paid health insurance plans
Dental and vision insurance plans
Employer-paid $20000 life insurance policy
Public Service Loan Forgiveness Program (PSLF) through the Federal government
Wide variety and availability of career advancement as the largest and most diverse employer in the State
Opportunity to be part of meaningful work and make a difference through public service
Training and Development based on your career aspirations
Fun inviting teammates
A safe and secure environment
At the State we stand by our core values of treating others with dignity and respect acting ethically in all situations and creating an environment where our customer is our top priority. Apply to join our team today!
Job Duties: (A position may not be assigned all the duties listed nor do the listed examples include all the duties that may be assigned.) Reviews and investigates reports that an act of insurance fraud has been committed or is currently being committed to determine if fraud has occurred and to gather assemble and preserve factual statements affidavits and physical evidence for use in civil or criminal actions. Develop an investigative approach to a variety of caseloads and ensure matters are prioritized according to the direction of their supervisor. Determine if potential violation meets elements required within criminal statutes for prosecution what the statute of limitations may be for violations and the best venue for prosecution. Locates interviews and takes statements from witnesses and persons suspected of involvement in fraudulent insurance activities or have related knowledge to use as evidence in civil or criminal actions. Writes search and arrest warrants utilized during the course of investigations. Drafts and utilizes administrative subpoenas. Consults and works with law enforcement insurance company personnel and other agency investigators to gather information and provide evidence for use in civil and criminal actions. Reviews financial transactions including financial records claim files and underwriting files of insurance companies and books and records of other entities and private individuals to determine if fraudulent acts have been committed and to provide evidence for civil or criminal actions. Writes reports to include clear concise detailed and comprehensive information reflecting all investigative techniques applied relevant facts and summaries to be reviewed by the attorney and to have documentation of the investigation. Testifies before administrative and judicial bodies on matters relative to insurance fraud to provide factual evidence. Corresponds with individuals insurance companies law enforcement officials and other entities to facilitate the investigation and to provide documentation of relevant facts. Maintains relationships with anti-fraud organizations and attends training to stay abreast of the latest information. Prepares and provides educational presentations for partners and consumers on all aspects of insurance fraud and/or investigative techniques. Serves as a resource to provide information pertaining to insurance fraud. Other duties as assigned within the scope of the classification.
Requirements/Qualifications
Minimum Qualifications:Coursework/training in criminal justice law enforcement police science criminology or related field and experience conducting criminal investigations. Must currently hold or obtain Law Enforcement Certification or through current or previous federal law enforcement certification be able to obtain a commission as a Special State Deputy Sheriff.
Preferred Qualifications: Preference will be given to candidates with 3 years of complex criminal investigation experience and/or 3 years of insurance experience. Strong report writing skills are needed to be successful in this position.
Other:This position requires frequent day travel and occasional overnight travel throughout the state. As such the incumbent must be able to present a valid drivers license or another form of reliable transportation. Regular and reliable attendance.
Legal Qualifications: Uncertified applicants must meet the minimum qualifications required for admission into the Nebraska Law Enforcement Training Academy in accordance with Title 79 Nebraska Administrative Code Chapter 8: Training Academy Admission Qualifications and Procedures. Incumbents must complete required yearly law enforcement continuing education and firearms requalification to maintain employment in this position
Knowledge Skills and Abilities:
Knowledge of: rules of evidence laws of arrest search and seizure and basic court procedures; policies and procedures of specific jurisdictions when making arrests; criminal investigation techniques and procedures; principles of identification preservation and presentation of evidence relating to financial fraud embezzlement extortion bribery larceny conspiracy etc.; general accounting and bookkeeping principles; automated record systems.
Ability to: trace financial transactions through insurance operations; analyze prepare and present evidence under criminal proof standards in writing and oral testimony; review evidentiary leads and select and investigate leads effectively; communicate effectively at many levels; plan and organize work; interact with agency staff law enforcement staff insurance industry staff and the public; work with combative or hostile persons; physically make arrests and protect themselves and/or citizens when circumstances dictate; establish and maintain effective relationships with government officials police units insurance industry personnel and the general public; apply advanced investigatory techniques; analyze evidence and other types of data; follow and comply with all steps of due process; prepare clear concise written reports.
Skill with: personal computers word processing and spreadsheet software; tracing financial transactions in insurance operations; applying advanced investigatory techniques.
Benefits
We offer a comprehensive package of pay benefits paid time off retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position agency and employment status. For more information on benefits please visit: Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.
Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.
Employment Type
Full-Time
