Investigator - Special Investigations Unit
Everest National Insurance Company - Liberty Corner, NJ

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Directs and conduct assigned SIU investigation's to final disposition.
  • Work closely with members of Claim, Underwriting, Premium Audit, Program Administrators and Claim Support Staff to promote fraud interdiction efforts.
  • Assign, directs and control outside vendors to ensure cost-effective investigations.
  • Monitor and evaluate vendor activity to ensure high standards of performance.
  • Liaison with Departments of Insurance, law enforcement and other SIU representatives to ensure a continuing investigation and prosecution of suspect cases.
  • Report all suspect cases to the designated agencies (DOI's IFB's, Law Enforcement, NICB, etc) to ensure compliance with applicable statutory reporting requirements.
  • Utilize internal and external resources, provides fraud interdiction training and identify staff developmental needs from a fraud educational perspective.
  • Some travel will be required.

  • Qualifications:
    • High School Diploma required, NICB Nat. Academy and/or college degree is preferred.
    • CIFI-CFE-FCLA-FCLS-SCLA or AIC designations preferred.
    • Minimal five years prior insurance industry claim or SIU experience.
    • Strong investigative, organizational and communication skills.
    • Experience working within a fixed Claim Department office environment preferred. .
    • Expertise in developing and maintaining case management spreadsheets.
    • Operational knowledge of ISO, NICB, public record databases and internet data-mining.

    Everest is committed to recruiting and retaining the most talented individuals in the industry.

    Everest offers a dynamic work environment and a competitive compensation and benefit package; which includes a 401k plan, retirement/savings option, tuition reimbursement, medical, dental, vision, life and group legal plans.

    We are an Affirmative Action/Equal Opportunity Employer. All considered applicants must be eligible to work in the U.S. with unexpired, acceptable employment eligibility verification documentation.

    Everest Re Group, Ltd. - 20 months ago - save job - copy to clipboard - block
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