
NYCM Insurance este un furnizor american de asigurări care oferă persoanelor fizice și companiilor acoperire pentru proprietăți și riscuri de răspundere. Oferta sa include polițe personale, precum asigurarea auto și a locuinței, precum și soluții de asigurare comercială. Fondată în 1899, compania activează în sectoarele asigurărilor și finanțelor și are o echipă de aproximativ 501–1.000 de angajați. Acest profil este relevant pentru candidații care explorează oportunități la un asigurător bine stabilit, în domenii precum subscrierea, gestionarea daunelor, serviciul pentru clienți, tehnologia și alte funcții de afaceri.
Senior Fraud Investigator - New York Hybrid
Investigate suspected insurance fraud for NYCM Insurance in a hybrid New York role. Interview involved parties, analyze evidence, document findings, testify in court, and coordinate with legal, regulatory, law enforcement, claims, and SIU stakeholders.
Descriere
- Conduct insurance fraud investigations in line with company, SIU, statutory, regulatory, and legal requirements
- Use data, databases, and spreadsheets to identify leads and potential investigations
- Produce accurate, timely reports for referring parties under New York State regulations and company policies
- Interview individuals and obtain recorded or written statements
- Verify receipts, perform activity checks, and complete other investigative procedures using SIU resources
- Keep case files chronological and activity logs factually accurate
- Report suspected insurance fraud as required by applicable regulations
- Testify in court and provide briefings to management
- Coordinate with law enforcement and regulatory agencies
- Act as a liaison among SIU Field Investigators, EFW Examiners, and Claims Examiners
- Maintain proficiency with investigative equipment and stay current with investigative methods through assigned training
- Stay informed about civil, criminal, and other laws relevant to investigations
- Perform additional duties as assigned
Cerințe
- Associate or bachelor's degree in criminal justice or a related field, five years of insurance claims investigation experience, professional investigation experience with law enforcement agencies, or seven years of professional investigation experience involving economic or insurance matters
- Working knowledge of New York State regulations and company policies
- Familiarity with civil, criminal, and other laws relevant to investigations
- Technical proficiency with cameras, computers, recorders, and SIU resources
- Strong computer skills, including email and database use
- Proficiency in Microsoft Word and Excel
- Organized, detail-oriented approach with strong investigative judgment
- Excellent verbal and written communication and active listening skills
- Ability to work independently while following direction
- Ability to analyze data and identify leads and potential investigations
- Ability to conduct investigations in less-than-ideal situations and locations
Beneficii
- Hybrid work arrangement requiring two days in the office
- Full-time schedule of 40 hours per week