Senior (Special Investigation Unit (SIU) Investigator

Responsibilities

• We are seeking a seasoned and strategic Senior Special Investigation Unit (SIU) Investigator to lead the proactive detection, prevention, and resolution of fraudulent activities impacting our life insurance products and services.
• This role is critical to safeguarding the financial integrity of the organization, ensuring compliance with regulatory requirements, and protecting the trust placed in us by policyholders, beneficiaries, and stakeholders.
• The ideal candidate will bring deep investigative expertise, a strong understanding of life insurance operations, and a demonstrated commitment to ethical conduct, sound judgment, and continuous improvement.
• Lead complex, high-exposure, and multi-jurisdictional fraud investigations across life insurance, annuity and travel & accident products, including application, underwriting, claims, and identity-related fraud schemes.
• Direct end-to-end case strategy, oversee evidence development, investigative approach, and resolution for regulatory and criminal matters.
• Manage criminal and regulatory referrals, coordinate with Departments of Insurance, fraud bureaus, and law enforcement to support prosecution and compliance obligations.
• Serve as a subject matter expert on insurance fraud schemes, statutes, and regulatory requirements, providing guidance on high-risk and sensitive matters while ensuring investigations meet legal, regulatory, and ethical standards.
• Mentor and coach SIU investigators and fraud analysts, providing technical direction and developing investigative best practices.
• Develop and enhance fraud detection methodologies by leveraging advanced analytics, data mining, and investigative tools, and prepare comprehensive investigative reports with recommendations.
• Partner with internal teams and external organizations to assess fraud exposure, implement mitigation strategies, monitor emerging fraud trends, and support coordinated prevention efforts.

Qualifications

• Bachelor’s degree in Criminal Justice, Insurance, Finance, or a related field required, advanced degree preferred.
• Minimum 8 years of progressive fraud investigation experience, with significant experience in life insurance, annuities, travel & accident products, or financial services environment.
• Advanced understanding of insurance fraud statutes, SIU regulations, regulatory reporting requirements, and multi-jurisdictional investigative considerations.
• Demonstrated expertise in complex fraud investigations, including high exposure, organized, or fraud-sophisticated schemes.
• Advanced analytical skills with demonstrated ability to evaluate large, complex data sets and translate findings into actionable investigative strategies.
• Exceptional interpersonal, written, and verbal communication skills, including the ability to articulate complex findings to executive, legal and regulatory audiences.
• Proven ability to handle sensitive investigations with discretion, integrity, and sound ethical judgment.