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Alfa Insurance · 2 months ago

Fraud Investigator Specialist

Montgomery, AL 36116

Full-time

Onsite

Mid Level

3+ years exp

Alfa Insurance is an A-rated insurance carrier known for its superior customer service and extensive range of insurance products. The Fraud Investigator Specialist will identify, investigate, and resolve fraudulent activities, ensuring compliance with investigation standards and collaborating with various stakeholders.

Auto InsuranceFinancial ServicesHealth InsuranceInsuranceInsurTechLife InsuranceProperty Insurance

Responsibilities

Clearly and concisely prepare comprehensive investigative reports & present findings to management & legal teams

Collaborate with law enforcement, regulatory bodies & other insurers to share information and coordinate anti-fraud efforts, as needed. Ensure reporting meets management's expectations and department standards

Ensure individual compliance with accepted fraud investigation standards, Global Auditing Standards and Audit Services’ Charter. Complete all tasks with ethics and professionalism, maintaining integrity, objectivity, independence, honesty, and professional courage, in accordance with the Global Auditing Standards

When not engaged in investigative activity, expected to assist with Audit projects commensurate with the duties of a Staff Auditor. Review & analyze financial documents, insurance policies, and claims to identify irregularities & patterns indicative of fraud, and consulting/advisory activities on behalf of management to improve controls and efficiency of operations

Qualification

Investigative experienceFraud examination techniquesInsurance processes knowledgeCertified Fraud ExaminerAnalytical skillsProblem-solving skillsCritical thinking skillsWork independently

Required

Bachelor's degree in Criminal Justice, Finance, Accounting, Business Administration, or a related field. In lieu of bachelor's degree, must have 7 years of investigative experience; financial or insurance related experience a plus

3 years of investigative experience is required; financial or insurance related experience is a plus

Excellent analytical, problem-solving, and critical thinking skills

Ability to work independently and manage multiple cases simultaneously

Preferred

Strong knowledge of insurance processes, fraud schemes, and investigative techniques is preferred

Relevant certifications (e.g., Certified Fraud Examiner, CFE/ Certified in Financial Forensics, CFF) are preferred, and one will be required within first two years of employment

Insurance Agent License is preferred and will be required within first year of employment