SIU Major Case Investigator jobs in United States
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AmTrust Financial Services, Inc. · 3 weeks ago

SIU Major Case Investigator

AmTrust Financial Services, Inc. is focused on fraud defense strategies and is seeking a SIU – Complex Major Case Investigator. This role involves conducting complex investigations into fraudulent claims, analyzing data to identify fraud patterns, and collaborating with various departments and external partners to disrupt fraudulent networks.

FinanceFinancial ServicesInsurance
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H1B Sponsor Likelynote
Hiring Manager
Kelli Oakes
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Responsibilities

Conduct complex investigations into suspected fraudulent claims and schemes involving claimants, providers, policyholders, and internal parties
Gather, preserve, and analyze critical evidence from a wide array of sources, including financial records, digital forensics, surveillance, social media, and public/private databases
Prepare detailed, clear, and concise investigative reports suitable for internal claims decisions, law enforcement referrals, and courtroom testimony
Manage a dynamic caseload efficiently, working both independently and as a collaborative team member to meet deadlines and objectives
Proactively monitor fraud activity across all products and channels, applying statistical analysis to identify emerging patterns, trends, and systemic vulnerabilities before they escalate
Apply all-source research, collection, and analysis techniques to illuminate fraudulent networks, their key players, and methodologies
Continuously evaluate new data sources and vendor tools to uncover novel fraud patterns and enhance the evolution of our predictive models and fraud detection strategies
Provide timely and actionable intelligence briefings to leadership on fraud trends, tool effectiveness, and the overall threat landscape
Collaborate closely with Claims, Underwriting, and Audit departments to provide investigative expertise and ensure a cohesive strategy
Serve as a key liaison with external partners, including law enforcement, regulatory agencies (NICB, state fraud bureaus), and legal counsel, to disrupt and dismantle fraudulent networks
Partner with vendors, product managers, and digital teams to refine and improve the accuracy of fraud detection rules, alerts, and analytical models
Ensure all investigative and analytical activities are conducted in strict compliance with relevant fraud statutes, privacy laws (e.g., GLBA), and regulatory reporting requirements
Uphold the highest ethical standards, maintaining absolute confidentiality and integrity in all matters

Qualification

Complex insurance fraud investigationsAll-source intelligence gatheringData analysis techniquesInvestigative databases proficiencyData visualization toolsAutonomyInsurance principlesFraud statutesPrivacy regulationsWritten communication skillsVerbal communication skillsInitiative

Required

Bachelor's degree in criminal justice, data analytics, intelligence studies, or a related field
Minimum of 5-7 years of professional experience in complex insurance fraud investigations (Commercial, P&C, Workers' Compensation), law enforcement, or intelligence analysis
Demonstrated expertise in conducting all-source intelligence gathering and applying analytical techniques to complex investigations
Strong analytical and quantitative skills with a proven ability to interpret large datasets, identify patterns, and make data-driven decisions
Exceptional written and verbal communication skills, with the ability to present complex information clearly to diverse audiences
Proven ability to operate with a high degree of autonomy, initiative, and discretion
A strong understanding of insurance principles, fraud statutes, and privacy regulations

Preferred

Proficiency with investigative databases, social media analysis, and data visualization tools is highly preferred

Benefits

Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off

Company

AmTrust Financial Services, Inc.

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AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.

H1B Sponsorship

AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2023 (3)
2022 (5)

Funding

Current Stage
Public Company
Total Funding
unknown
2006-11-13IPO

Leadership Team

D
Daniel Pacicco
Executive Vice President, Chief Financial Officer
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Carl Canales
Executive Vice President - North American Field Operations
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Company data provided by crunchbase