SIU Investigations Manager

Position Compensation Range:

Pay Rate Type:

Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.

Primary Accountabilities

• Create a collaborative, performance-driven work environment by facilitating and fostering trust, transparency, and inclusion. Work with team members to set clear goals, provide feedback, perform performance assessments, and support on-going development.
• Lead with influence and expertise and contribute to division or department leadership team. Communicate and support organization mission, vision, values and policies.
• Assess investigator resource capabilities to determine resource needs.
• Identify external expert and investigative resources to supplement company resources and support the requirements of investigations.
• Monitor and review vendor investigation resources' work product for quality and timeliness.
• Implement and improve investigation guidelines. Work with investigators to ensure delivery of high-quality investigations.
• Assist investigators in determining course and extent of investigative activity required for resolution of the case.
• Collaborate with business partners to develop and implement anti-fraud plans and strategies to identify, prevent and mitigated fraudulent claim losses.
• Collaborate with fraud forensic analysts, examiners, and business partners to identify insurance fraud activity.
• Develop and maintain meaningful relationships with members of the insurance industry, law enforcement agencies, and anti-fraud organizations to gather and share information regarding fraud.
• Serve anti-fraud subject matter expert and collaborate with appropriate training and educational resources to develop and deliver and appropriate anti-fraud training to staff, internal / external business partners and customers.

Specialized Knowledge & Skills Requirements

• Demonstrate experience providing customer-driven solutions, support or service
• Demonstrate effective people management or project leadership experience.
• Solid knowledge of property and casualty claims operations including claims processes, procedures, best practices, and service levels.
• Solid knowledge of special investigation operations to include processes, performance measures, strategies, insurance fraud schemes and associated indicators.
• Demonstrate experience investigating suspected insurance fraud activity involving multi-line auto and property claims.
• Demonstrate experience developing and delivering anti-fraud detection training to internal and external business partners.
• Basic experience actively participating in special investigation industry associations and collaborating with special investigation industry peers to combat insurance fraud activity.
• Solid knowledge of federal, state and local laws, regulations and practices on states within designated operating territory.

Travel Requirements

• Up to 10%.

• 3+ years prior SIU Investigation experience
• Multi-line SIU experience preferred

In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home, proximate to one of our office locations (within approximately 35-50 miles). On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.

Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role.

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.