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Insurance Fraud Investigator

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Posting Begin Date: 2024/02/08
Posting End Date: 2024/02/22
Category: Code Enforcement
Sub Category: Investigative
Work Type: Full Time
Location: Boise, ID, United States
Minimum Salary: 26.70
Maximum Salary: 26.70
Pay Rate Type: Hourly

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Description


Insurance Fraud Investigator Career Opportunity!


The Idaho Department of Insurance (DOI) is searching for a Fraud Investigator. This role will report directly to the Investigations supervisor in the Consumer Services Bureau. This is a full-time position located in downtown Boise. Some travel and extended working hours may be involved. This role will be supported and trained by the DOI Fraud Investigations unit.

 

Please attach and submit your customized resume when applying for this position. It is essential your resume emphasize education, experience and positions held that are directly related to the minimum qualifications for this position. It should include detailed information, including dates regarding education and experience. Applicants must be willing to take assessment/examination and receive a passing score in order to be considered for the position.

 

Applications will be accepted through 4:59 PM MST on the posting end date.


EXAMPLE OF DUTIES

  • Conducts field investigations of criminal, civil, administrative, and regulated activities including investigation of suspected crimes in insurance fraud that may include, auto theft, arson, fraudulent health care, and staged auto accidents.
  • Assists other local and federal law enforcement agencies such as the, F.B.I., U.S. Attorney, and the Idaho Attorney General as a specialist in criminal insurance fraud.
  • Serves as team participant during investigations with other law enforcement jurisdictions.
  • Gathers, prepares, and presents evidence in court and testifies as an expert witness.
  • Prepares investigative reports.
  • Presents criminal cases to law enforcement agencies and testifies against violators of the Idaho Code.
  • Conducts field investigations and serves subpoenas.
  • Conducts analysis of financial records, insurance policies, bank records, accident reports, medical reports, statements under oath, and other related documents to determine the nature and extent of criminal insurance fraud violation.

 

MINIMUM QUALIFICATIONS

 Must possess a valid driver’s license.

 Good Knowledge:

  •  Investigative techniques and procedures; rules of evidence and discovery, court procedures; the legal rights of citizens. Typically gained through a college degree in criminal justice, law enforcement or a related field PLUS at least one year of experience working with laws, techniques, and procedures; OR specific coursework in each of the areas listed PLUS at least three years' work experience applying each of laws, techniques, and procedures. You may receive a higher score if your education, experience, and/or level of responsibility exceeds that described above. Please thoroughly describe your educational background, experience, and level of responsibility as it relates to this question in your resume.


Experience:

  • Analyzing documents; identifying facts for evidence and case history to detect discrepancies and identify possible violations; conducting fact finding interviews to obtain statements and evidence from parties including suspects, victims, and witnesses to detect possible violations of the law and obtain information to use in legal proceedings; preparing for hearings; preparing reports and affidavits/exhibits. Typically gained by at least two years of professional experience performing the work described in each of these areas, such as a criminal fraud investigator, law enforcement investigator, insurance investigator or similar position.
  • Locating and verifying assets. Typically gained through at least six months of work experience locating and verifying assets in a position such as a bookkeeper, accountant, law enforcement officer doing related investigative work, insurance adjuster, insurance investigator, or related field. You may receive a higher score if your experience exceeds that described above. Please thoroughly describe your experience as it relates to this question in your resume.

 

SUPPLEMENTAL INFORMATION

This position:

  • Requires interview candidates to complete a written assessment during the interview process.
  • Requires the selected candidate successfully pass a background check prior to hire.
  • Requires extensive travel and contact with the public and professional groups, as well as governmental agencies.
  • Expected to work with other law enforcement agencies.
  • May be required to provide testimony in Court or to the Legislature.
  • This is a non-sworn position.


Preferred candidates will have (if you possess any of the following, please reference them in your resume and cover letter): At least two or more years of professional work experience as an insurance adjuster, law enforcement officer, insurance investigator (SIU), paralegal, related occupation, or performing similar work at a high level with minimal supervision. Membership in professional societies such as Certified Fraud Examiner or Certified Insurance Fraud Investigator. Four-year degree in Paralegal Studies, Criminal Justice or Administration of Criminal Justice.

The Idaho Department of Insurance embraces diversity and equal opportunity in a meaningful way. Our agency is committed to building a team that represents a variety of backgrounds, perspectives, and skills. This includes hiring talented staff members who have bilingual skills, which is an on-going goal for the DOI. We strive to create an inclusive work culture that encourages, supports, and celebrates the diverse voices of our team members. This helps to fuel innovation and a connection to customers and the communities served in Idaho.


The mission of the Department of Insurance is to serve and protect Idahoans by equitably, effectively, and efficiently administering the Idaho Insurance Code and the International Fire Code.

 

The Department of Insurance is in downtown Boise across the street from the state's Capitol Building. Boise consistently receives top accolades as one of the best places to live in the country! To learn more about Idaho DOI and the important work we do, go to the DOI website, and follow us on Facebook, Twitter, and LinkedIn.


BENEFITS

This benefited position enjoys:

  • Excellent medical, dental, and vision health plans.
  • Nationally recognized PERSI retirement benefits.
  • Paid sick and vacation leave accrual upon hire.
  • Parental leave.
  • 11 paid holidays annually.
  • A healthy work-life balance.
  • Career growth and professional development opportunities.

For additional information related to benefits and/or State programs visit: https://dhr.idaho.gov/StateEmployees/Benefits.html.


EEO/ADA/VETERAN

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email [email protected].

Preference may be given to veterans who qualify under state and federal laws and regulations.

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