Insurance Fraud Investigator - Omaha, NE
Job no: 495999
Work type: Full Time Regular
|Investigate, resolve and monitor to completion, cases of suspected fraud, embezzlement, theft, improper business and/or sales practices, and other crimes throughout the corporate structure. Work within and across affiliated companies to contribute to the protection of the Companies' legal and financial interests.
Essential Job Functions:
- Evaluate and investigate fraud, embezzlement, diversion, theft, counterfeiting, forgeries and other crimes including insurance, banking, and securities related issues where the Companies' assets are at risk. Including violations committed by producers, employees, providers, and policyholders.
- Evaluate possible producer fraud by performing thorough reviews, including: business research, analysis of producer activity, as well as identity and payment verification. Provide investigative research and conclusions in support of enforcing Company expectations and producer performance standards.
- Investigate and report findings of Code of Ethics and Business Conduct violations as directed by Corporate Investigations management and/or the Lead Investigator.
- Conduct state mandated fraud awareness training as necessary.
- Prepare and present evidence, recommendations, and aggravating/mitigating circumstances regarding sales practice violation and/or compliance-related concerns, complaints, and issues to include producer performance. Prepare reports, letters, memorandums and summaries in response to producer incidents and producer studies.
- Establish and maintain collaborative, stable business relationships with Corporate Investigations' customers and business unit partners. Seek out opportunities to add value to all customer requests and interactions.
- Provide investigative and research support to the Anti-Money Laundering team as needed.
- This position requires extensive or prolonged typing/keyboarding.
- This position requires sitting over 66% of the time.
*This job posting is reflective of the Corporate Investigator essential functions, qualifications, and physical requirements. The Sr Corporate Investigator level has variable essential functions, qualifications and physical requirements. Competency and skill set will determine level of placement within the posted job family.
- Knowledge of, and experience in, financial institutions, insurance compliance and fraud practices.
- Experience as an investigator in the public or private sector.
- Effective oral and written communication skills.
- Effective analytical and research skills.
- Effective persuasion and negotiation skills.
- Sound decision-making and problem-solving abilities, as well as the ability to identify problems and trends.
- Ability to collaborate with internal and external parties to resolve issues.
- Ability to plan, organize and prioritize work.
- Ability to work under the pressure of deadlines for multiple assignments.
- Insurance industry knowledge, including general claims experience, sales, and underwriting practices.
- Certified Fraud Examiner (CFE), Professional Certified Investigator (PCI), Certified Insurance Fraud Investigator (CIFI) or similar designation preferred.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at 1-800-780-0304. We are available Monday through Friday 7 am to 4:30 pm CST.
For all other inquiries, contact our HR Helpline at 1-800-365-1405.
Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer, Minorities/Female/Disabled/Veteran
To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes.
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