Internal Major Case SIU Investigator

Essential Functions

• CONDUCTS investigations into large-scale and highly organized major cases involving large numbers of claims across multiple jurisdictions with significant loss exposure and suspected fraud or other suspicious activities against the company.
• COORDINATES investigative assets to record reviews and conduct field investigations, canvasses and surveillance when necessary.
• ANALYZES high-level, complex fraud schemes for possible litigation under the Racketeered Influenced and Corrupt Organizations Act or for referral to appropriate federal, state or local law enforcement or regulatory review.
• USES information resources to gather, analyze and evaluate information to determine its credibility and applicability to fraud investigations.
• INVESTIGATES statistically significant trends in claims and underwriting data to identify emerging or evolving fraud schemes.
• PRESENTS findings and recommendations to senior management.
• COLLABORATES with the NICB, regulators, law enforcement and fee counsel on investigations.
• ASSISTS external agencies in documentation gathering to support civil prosecution and/or affirmative litigation cases.
• PROVIDES training and support to other SIU major case investigators in the identification of activity involving medical providers, body shops, glass harvesters, and broker fraud.
• TRAINS and ADVISES line, staff and management in security controls and OUTLINES gaps in current protocols and procedures.

GEICO Pledge

Great Company: Protecting customers through life’s twists and turns with innovation and integrity.
Great Careers: Personalized development programs, mentorship, and certification assistance.
Great Culture: Inclusive and collaborative culture rooted in shared success.
Great Rewards: Competitive pay, benefits, and flexibility to support your well-being and future.

The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.