Lead the day-to-day operations of a Special Investigations Unit, overseeing investigators and driving effective fraud detection and investigation efforts.
Manage complex and high-risk cases, ensure compliance with legal and regulatory standards, and partner with internal teams and external agencies to prevent, detect, and resolve insurance fraud.
Guide investigators through complex, high-exposure, and multi-jurisdictional fraud cases, including organized fraud activity.
Review and approve critical investigative actions, referrals, and outcomes.
Own the SIU talent strategy: hiring, coaching, development, succession planning, and performance management.
Mentor investigators and supervisors, fostering a culture of accountability, growth, and excellence.
Ensure all investigations are thorough, defensible, and compliant with legal and regulatory requirements.
Serve as a key liaison with law enforcement, fraud bureaus, and industry organizations.
Monitor SIU metrics such as referrals, cycle times, and outcomes to identify trends and opportunities.

7+ years in insurance investigations, fraud detection, or SIU operations
3+ years in a leadership role
Prior law enforcement experience is a plus
Strong knowledge of P&C claims, fraud typologies, and investigative practices
Familiarity with fraud analytics tools, case management systems, and regulatory frameworks
Ability to manage complex investigations and make sound, defensible decisions
Proven ability to lead, develop, and inspire high-performing teams
Strong communication skills with the ability to influence senior stakeholders
Bachelor’s degree in Criminal Justice, Business, Risk Management, Analytics, or related field
At least one professional certification required (CIFI, CFE, FCLS, FCLA), with multiple certifications preferred
Insurance or claims-related designations are a plus
Formal investigative or law enforcement training nice to have.

Medical & Prescription Insurance
Health Savings Account
Dental Insurance
Vision Insurance
Short and Long Term Disability
Flexible Spending Accounts
Life and Accidental Death & Disability
Accident and Critical Illness Insurance
Employee Assistance Program
401(k) Plan with Company Match
Pet Insurance
Paid Time Off . Standard first year PTO is 17 days , pro-rated based on month of hire.

Manager – Special Investigations Unit

Key skills