Intact Insurance Specialty Solutions · 2 weeks ago
Senior Internal Investigation Unit Investigator (Hybrid or Remote)
Englewood, CO
Full-time
Hybrid
Mid, Senior Level
$89K/yr - $126K/yr
5+ years expIntact Insurance Specialty Solutions is dedicated to helping people, businesses, and society prosper. They are seeking a Senior Internal Investigation Unit Investigator to conduct confidential investigations into potential fraud and misappropriation, ensuring the protection of the company's assets and reputation.
FinanceFinancial ServicesInsurance
Responsibilities
Review cases identified by Scan and Extractions to clear false positives and flag potential fraud cases
Analyze all payments on a claim to determine if there is a risk of internal fraud by examining supporting documents such as invoices, receipts, call recordings, and approval records
Monitor and analyze employee behavior over time to identify deviations from standard processes and potential fraud patterns
Cross-check data to identify discrepancies, overpayments, duplicate payments, or payments to unapproved vendors
Identify and flag coaching issues or overpayments to the business that are not related to internal fraud
Document coaching issues or overpayments clearly, providing evidence and constructive feedback to the Unit Claim Manager (UCM) or relevant teams
Raise identified gaps or issues to the claim consultant or forensic expert and contribute to the development of solutions
Gather and review all relevant data from internal systems, such as transaction logs, claim files, payment records, and employee activity logs
Compare multiple claims to identify commonalities, patterns, or discrepancies that may indicate fraudulent activity
Conduct detailed document reviews to identify inconsistencies, alterations, or signs of forgery
Perform open-source research to gather additional information related to the case and validate the information obtained
Retrieve, listen to, and transcribe key parts of recorded calls related to the case to identify discrepancies or red flags
Participate in IIU projects aimed at improving workflows and processes
Collaborate with other departments to gain insights into their claim handling processes and share best practices
Participate in the onboarding of new hires and complete assigned monthly training to stay updated on processes and regulations
Qualification
Required
Bachelor's degree or equivalent experience required
5-7 years of relevant experience
Proven experience in conducting investigations
Preferred
Experience with multi-line Commercial claims handling preferred
Benefits
Comprehensive medical, dental and vision insurance with no waiting period
Competitive paid time off programs
401(k) savings and annual contributions of up to 12% of annual salary
Mental health support programs
Life and disability insurance
Paid parental leave
A variety of additional voluntary benefits
Company
Intact Insurance Specialty Solutions
Intact Insurance Specialty Solutions offer a range of specialty insurance products sold through independent agencies and wholesalers.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2017-05-02Acquired
2006-11-09IPO
Leadership Team
Jeff Bellmont
Deputy SVP, US Chief Claims Officer
Carolyn Koutsaftis, SHRM-SCP
HR Business Partner
Recent News
2025-08-21
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