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, ensuring compliance with legal and regulatory standards.
Partner with internal teams and external agencies to prevent, detect, and resolve insurance fraud.
Guide investigators through complex fraud cases and mentor them in investigations.
Ensure all investigations are thorough and compliant with legal requirements.
Collaborate with law enforcement and industry organizations to enhance fraud detection strategies.
Monitor SIU metrics and lead initiatives to improve operational effectiveness.

7+ years in insurance investigations, fraud detection, or SIU operations
3+ years in a leadership role
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. Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance

Manager – Special Investigations Unit

Key skills