Special Investigator

Special Investigator

The Special Investigations Unit ("SIU") is looking for someone who can demonstrate the WCF values to join their team as a Special Investigator. This is a full-time, exempt position that reports to the SIU Manager.

The person in this position works out of WCF's Sandy, Utah headquarters or one of the regional offices located in Roseville, CA; Boise, ID; or Denver, CO. Hybrid (office / home) or fully remote option is available.

This position is open to internal and external candidates.

Responsibilities

• Conduct investigations into suspected fraudulent claims involving claimants, providers and policyholders
• Gather and analyze evidence, including financial records, surveillance, social media and public databases
• Interview witnesses and individuals utilizing investigative techniques
• Prepare detailed investigative reports for internal use, claims decisions and legal proceedings
• Testify in depositions, administrative hearings or court when required
• Collaborate with internal departments (claims, legal, underwriting, auditing, finance) and external partners (law enforcement, attorneys, state fraud units, surveillance vendors)
• Identify fraud trends and contribute to analytics, fraud alerts and training programs
• Ensure compliance with applicable fraud reporting laws and regulatory SIU requirements
• Maintain case confidentiality and adhere to WCF's ethical and operational standards
• Must be self-motivated and able to work as a team member
• Must have proficiency in use of computer databases and word processing software
• Skills in verbal and written communication, problem solving, interpersonal relations, and time-management
• Demonstrate skills in criminal investigative interview methods, documentation and record keeping, knowledge of workers' compensation laws and processes and of the criminal justice system

Qualifications

WCF Insurance offers an extensive compensation package. Benefits include Medical, Dental, and Vision insurance, company paid life insurance, 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program (EAP) and time off to volunteer in the local community. All employees earn 4 weeks of vacation in their first year. Expected salary for this position is $70,000 - $100,000 depending on location, experience, and education.

WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive.

WCF Insurance is an equal opportunity employer.

WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.