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Senior Investigator I, SIU

Company: Liberty Mutual Insurance
Location: Uniondale
Posted on: January 15, 2021

Job Description:

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work-- US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates-as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.Advance your career at Liberty Mutual Insurance - A Fortune 100 Company!Are you looking for an exciting investigative opportunity with a leading insurance carrier? Liberty Mutual Insurance is looking for an individual(s) to join our Global Risk Specialty - Special Investigations Unit (SIU). The ideal candidate will reside in Southern NY or Northern New Jersey, and tasked with conducting detailed, timely, ethical, and customer centric investigations into suspicious claims submissions. We are looking for candidates to fill roles in our SIU Singular Investigation Unit.Position Locations: Singular Case Investigator: Southern and Central NYResponsibilities:* Conduct extensive and detailed investigations of suspicious claims activity and suspicious medical practices, both in-person and virtual.* Attend industry meetings and develop partnerships with industry, Law Enforcement, and Department of Insurance investigators for New York* Develop and execute investigative action plans and to provide meaningful direction and assistance to outside investigators, legal and claims personnel* Driven to exceed responsiveness, quality, and other service standards* Conduct Field, and Virtual in-depth interviews of participants, witnesses, Injured Workers or claimants* Conduct claims file reviews for the purposes of identifying indicators of suspicious patterns and activity in claims* Demonstrated organizational skills in a fast paced, high performing team environment* Oversight of vendors assigned to assist on claims* Work with outside experts to determine accuracy of alleged facts* Prepare investigative reports, and PowerPoint presentations for internal review* Make proper referrals to fraud bureaus and law enforcement* Work closely with State and Federal agencies to refer suspicious cases* Provide fraud awareness and investigative skills training to claims handlers in a virtual environment* Responsible for investigating medical claims which could include completing clinic inspections, interviewing clinic providers and employees of those clinics.* Keep abreast of the latest legislation and court decisions on matters pertaining to the investigation of suspicious claims and criminal and civil remedies available for prosecution and restitutionPreference will be given for those with:* Familiarity with state jurisdictional requirements* Candidates with a CPCU, CFE, CIFI, and/or AIC designation(s)* A progressive career of claims handling experience* Prior Law Enforcement investigation experience with a focus in Financial Crimes* Background in Commercial Insurance handling* Proven track record of established relationships with various industry and law enforcement agencies* Fluid in Microsoft Office (PowerPoint, OneNote, and Excel)Qualifications:* Bachelor's degree in Risk Management, Criminal Justice, or related field and five years of relevant Commercial claims handling, or 10+ years of Military or Civilian Criminal Investigation experience.* Strong interpersonal, analytical and negotiation skills* Demonstrated track record with focus on customer service* Self-starter with the ability to learn quickly, and work independently* Critical thinker with strong desire for continuous improvement

Keywords: Liberty Mutual Insurance, New York , Senior Investigator I, SIU, Accounting, Auditing , Uniondale, New York

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