Internal Major Case SIU Investigator

About the role

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide. Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States.

When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers.

Responsibilities

Under general supervision, this role investigates large-scale complex and highly organized major cases across multiple jurisdictions that involve fraud or other conversion of company assets.

• 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 Racketeering Influenced and Corrupt Organization Act or for referral to appropriate federal, state, or local law enforcement or regulatory review.
• Conducts background and database searches and reviews digital and documentary evidence to support the development of major cases.
• 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.
• Adheres to the Code of Conduct, company policies, and operating principles.

Requirements

This role requires the ability to perform the essential functions, which include, but are not limited to seeing, hearing, typing, and speaking. The ability to work both independently and in a team environment, multi-task, learn and apply large amounts of technical and procedural information, and communicate effectively verbally and in writing is necessary.

Qualifications and Skills

No specific qualifications are listed, but the role requires a range of skills and abilities, including investigation, analysis, communication, and collaboration.

Benefits

The GEICO Pledge includes Great Company, Great Culture, Great Rewards, and Great Careers, with benefits such as personalized development programs, mentorship, certification assistance, competitive pay, benefits, and flexibility to support well-being and future.