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Global Investigative & Forensic Services Senior Investigator - Remote Eligible

Lead detailed investigations into long-term care insurance fraud cases
Remote
Senior
yesterday
Virginia Staffing

Virginia Staffing

A government-affiliated entity providing employment and staffing services within the state of Virginia.

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Long-term Care Claims Investigator

Position Responsibilities: Successfully completes high-quality, sophisticated long term care claims investigations. Independently develops and drives a detailed investigative plan. Acquires and reviews internal/external documents to support investigative activity and findings. Conducts interviews of insureds, caregivers, and other involved parties. Handles third party vendor(s) conducting long term care surveillance activities. Regularly communicates findings and investigation status to Requesters. Produces reports that are accurate and objective. Presents case findings and recommendations for further action to department management and Requesters. Optimally applies internal case management systems to keep department management updated and to plan/prioritize concurrent assignments. Adheres to departmental, company and regulatory timelines, policies, and requirements. When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as the need arises. Mentors and trains more junior investigators on long term care claim cases and processes. Ability to travel on short notice and responds to urgent long term care claim investigations. Maintains knowledge of sophisticated investigative techniques, company/external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics. Maintains and continuously expands network of professional contacts. Plays a major role in the department's fraud awareness training program by developing and delivering appropriate material to employees. Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations.

Required Qualifications:

  • Bachelor's degree preferably in Criminal Justice or related field required; graduate work a plus
  • 5+ years of proven track record in the investigation profession and/or financial services industry
  • Designations/certifications in relevant subject matter areas a plus (CFE, LTCP, LOMA)

Preferred Qualifications:

  • Highly proficient in various computer applications (Microsoft products etc.)
  • Sophisticated written and verbal communication skills
  • Sophisticated analytical skills
  • Sophisticated interviewing skills
  • Ability to work in a dynamic environment
  • Efficient and effective organizational skills
  • Strong presentation skills
  • Foreign language proficiency a plus

When you join our team:

  • We'll empower you to learn and grow the career you want.
  • We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
  • As part of our global team, we'll support you in shaping the future you want to see.

Acerca de Manulife y John Hancock:

Manulife Financial Corporation is an important international provider of financial services that helps people make decisions in an easier way and live better. For more information about us, visit www.manulife.com.

Manulife es un empleador que ofrece igualdad de oportunidades:

In Manulife/John Hancock, we value our diversity. We strive to attract, train, and retain a workforce as diverse as the clients we serve, and to foster an inclusive work environment in which the strengths of cultures and people are leveraged. We are committed to equity in hiring, retention, advancement, and compensation, and we manage all of our practices and programs without discrimination based on race, ancestry, place of origin, color, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other aspect protected by current law. Our priority is to remove barriers to ensure equal access to employment. A human resources representative will work with applicants who require reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner consistent with Manulife/John Hancock's corresponding laws and policies. To request a reasonable accommodation in the application process, please send us a message at recruitment@manulife.com.

Ubicaci贸n principal: Estados Unidos, Carolina del Norte. Remoto a tiempo completo.

Modalidades de Trabajo: Remoto.

Se prev茅 que el rango salarial est茅 entre $86,025.00 USD - $154,845.00 USD. Si se est谩 postulando para este puesto fuera de la ubicaci贸n principal, p贸ngase en contacto con recruitment@manulife.com para conocer el rango salarial de su ubicaci贸n. El salario real variar谩 seg煤n las condiciones locales del mercado, la geograf铆a y los factores relacionados con el trabajo pertinentes, como conocimiento, habilidades, calificaciones, experiencia y educaci贸n/capacitaci贸n. Los empleados tambi茅n tienen la oportunidad de participar en programas de incentivos y obtener una compensaci贸n de incentivos vinculada al desempe帽o comercial e individual. Manulife/John Hancock ofrece a los empleados aptos una amplia variedad de beneficios personalizables, entre ellos, beneficios de salud, odontol贸gicos, de salud mental, oftalmol贸gicos, por discapacidad a corto y a largo plazo, cobertura de seguro de vida y por muerte accidental y desmembramiento, adopci贸n/subrogaci贸n y bienestar, y planes de asistencia al empleado/familiar. Tambi茅n ofrecemos a los empleados admisibles varios planes de ahorro para la jubilaci贸n (incluidos planes de ahorro 401(k) o de pensiones y un plan mundial de propiedad de acciones con contribuciones equivalentes del empleador) y recursos de asesoramiento y educaci贸n financiera. Nuestro generoso programa de d铆as libres pagos en EE. UU. contempla hasta 11 d铆as festivos, 3 d铆as personales, 150 horas de vacaciones y 40 horas de licencia por enfermedad (o m谩s cuando lo exija la ley) por a帽o, y ofrecemos todos los tipos de licencias contempladas por la ley.

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Global Investigative & Forensic Services Senior Investigator - Remote Eligible
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About Virginia Staffing
A government-affiliated entity providing employment and staffing services within the state of Virginia.