At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.
**This position is eligible to work from home anywhere in the United States**
Essential Functions
- Investigates and evaluates moderately complex Special Investigation Unit (SIU) referrals, including suspected organized fraud activity.
- Reviews claim, underwriting, premium audit, public record, claims history, and social media information to support investigations.
- Conducts interviews, obtains statements, completes field investigations, and reviews supporting documentation for accuracy and legitimacy.
- Attends examinations under oath and depositions and collaborates with internal teams, attorneys, law enforcement, and other relevant parties.
- Analyzes evidence to support or rule out suspected fraud, recommends appropriate claim or policy handling, and pursues recovery or restitution opportunities.
- Prepares investigative reports, required state anti-fraud documentation, and evidence packages for civil litigation or criminal prosecution.
- Communicates investigation status, findings, and recommendations to appropriate stakeholders.
- Helps develop and deliver internal anti-fraud training and promotes awareness of SIU services.
- Contributes to investigative policies, practices, and procedures and maintains involvement in relevant professional associations.
Education & Experience:
- Bachelor’s degree in business, insurance, criminal justice or related field or equivalent relevant experience
- Three years of claims adjusting, investigation or insurance-related experience or related experience
- Prior property and casualty experience preferred
- Fraud Claim Law Specialist designation within the first year of hire
- Insurance designations, such as INS, AIC, and FCLS preferred
Knowledge, Skills & Abilities:
- Good knowledge of the investigative process, including proper identification and collection of physical evidence
- Good knowledge of civil and criminal investigative procedures and the legal system
- Good knowledge of various statement taking techniques, collection and analysis of public and private records
- Knowledge of property and casualty insurance industry and fraud awareness preferred
- Good investigative skills and the ability to make sound decisions
- Good conflict resolution, negotiation and facilitation abilities
- Ability to work independently and as part of a team
- Strong verbal and written communication skills, including file documentation and report writing
- Good knowledge of computers and Microsoft Office Suite
- Attendance of the National Insurance Crime Bureau SIU Academy within the first two years of hire
- Occasional travel; a valid driver’s license with an acceptable motor vehicle report per company standards required if driving
The hiring salary range for this position will vary based on geographic location, falling within either of the following:
$66,294 - $91,570 or $73,245 - $100,731
A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs.
For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit www.emcins.com/careers.
Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.
All of our locations are tobacco free including in company vehicles.
