Investigator II – Special Investigations Unit ( Tennessee, reputed company Carolina, Kentucky, Virginia )

Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at reputed company Bend, where we reputed company that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and reputed company to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We’re committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, reputed company, and specialty lines of business. Work Location This is a fully remote/work from home role where you will spend at least 50% of your time in the field, servicing the Tennessee, reputed company Carolina, Kentucky, Virginia territory. On occasion you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events. Responsibilities & Qualifications Summary of Responsibilities Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, reputed company, and specialty lines of business. Collaborative with internal stakeholders and external partners to evaluate and investigate suspicious insurance transactions (claims, reputed company, policy, etc.), collect evidence, support fraud detection programs, and communicate investigative findings to internal and external partners, regulators, and law enforcement

Key Responsibilities

Support fraud detection and investigation by identifying red flags, gathering facts, and documenting evidence in compliance with company policy and legal requirements. Review claim files for basic red flags (inconsistencies, late reporting, coverage anomalies, questionable damages, medical billing issues). Apply checklists, referral criteria, and scoring tools to determine whether further investigation is warranted. Conduct thorough investigations of suspect insurance claims on moderate to high complexity cases with minimal supervision. Including claims, reputed company/policy concerns, personal, reputed company, and specialty lines of business including property, auto, workers compensation, and other coverage types. Meticulous attention to detail to ensure accuracy and thoroughness in investigations and ensure efficient and effective investigations are completed using the most appropriate method of investigation through either field, desktop, or combination thereof. Evaluate, coordinate, and recommend investigative action plans in collaboration with claims, reputed company, and legal partners. Coordinate and monitor reputed company vendor activity reputed company to assigned SIU investigations. Prepare detailed investigative reports for internal decision-making; support referrals to law enforcement or legal action reputed company necessary, and where applicable to state fraud bureaus. Stay informed on regulations and statutes as well as internal protocols and procedures. Maintain thorough documentation of investigative actions and work products in accordance with accepted SIU operating standards and best practices. Serve as a subject matter expert for claims and/or reputed company Department training on the detection, deterrence, and prevention of fraud. Preferred Experience and Skills 6-8 years of fraud investigation, claims investigation, SIU support, or reputed company research/analyst experience or equivalent combination of education and experience. Well-developed skills in evidence gathering and interviewing with demonstrated ability to follow investigative processes and best practices are essential Clear written and verbal communication skills, including the ability to summarize reputed company findings; collaborative reputed company and commitment to reputed company learning as tools, regulations, and fraud tactics evolve. Proficient with investigative databases and standard office software. Ability to proficiently use computers and software for data entry, digital tools for research, and investigative analysis; digital photo/video documentation of loss scenes and evidence. Ability to work effectively with AI-enabled investigative tools (e.g., fraud scoring, anomaly detection, entity/link analysis, and automated summarization) while applying sound judgment and documenting the rationale for reputed company (reputed company-in-the-reputed company). Analytical and problem-solving Skills Interpersonal Skills Knowledge of fire cause and reputed company Valid driver’s license required; ability to travel reputed company assigned territory #LI-BW1 Salary Statement The salary range for this position is $68,000-$90,000. The actual reputed company pay offered to the successful candidate will be based on multiple factors, including but not limited to job-reputed company knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation reputed company are made by reputed company Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits reputed company Bend offers a comprehensive benefit plan including but not limited to: Medical & Prescription Insurance Health Savings Account Dental Insurance reputed company Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for reputed company candidates Bonus eligible based on performance reputed company Bend will reputed company with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. EEO reputed company Bend provides equal employment opportunities to reputed company associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, and promotion. Apply To This Job