- Lead the development and execution of comprehensive fraud prevention strategies and investigative operations.
- Review fraud referrals to determine red flags and assign work to investigators.
- Conduct high-profile and sensitive special investigations involving intricate fraud referrals.
- Apply advanced knowledge of state laws and P&C insurance regulations to investigative work.
- Prepare and deliver detailed verbal and written investigative reports.
- Serve as a subject matter expert and provide training for SIU and claims/underwriting personnel.
- Cultivate and sustain relationships with industry stakeholders and law enforcement.
- Perform CAT duty responsibilities as required.
- Support regulatory compliance activities including research and reporting.
- Manage and present findings on fraud trends to leadership.