Senior Special Investigations Manager (Hybrid)

This is a senior/ second level manager that recommends and manages enterprise claim philosophies, policies, and procedures as they relate to special investigation claim activities. You will have 7 SIU Managers as direct reports. You will report to the Director, Adjusting Services.Compensation Minimum:$109,000 / yearlyCompensation Maximum:$186,000 / yearly

Compensation may vary based on the job level and your geographic work location.

Primary Accountabilities

• Create a collaborative, performance-driven work environment by facilitating and fostering trust, transparency, and inclusion. Work with team members to set clear goals, provide feedback, perform performance assessments, and support on-going development.
• Lead with influence and expertise. Contribute to division or department leadership team. Communicate and support organization mission, vision, values, policies, and practices.
• Collaborate with business partners to develop and implement effective anti-fraud plans and strategies to identify, prevent and mitigated fraudulent claim losses.
• Collaborate with fraud forensic analysts, examiners, and business partners to proactively identify insurance fraud activity.
• Develop and maintain meaningful relationships with members of the insurance industry, law enforcement agencies, and anti-fraud organizations to gather and share information regarding fraud.
• Serve as anti-fraud subject matter expert and collaborate with appropriate training and educational resources to develop and deliver effective and appropriate anti-fraud training to staff, internal / external business partners and customers.
• Make recommendations regarding claim investigation, fraud handling, investigative systems design, SIU staffing needs, equipment, and related procedures.
• Recommend, oversee, and maintain philosophies, policies, and procedures relating to SIU activities.
• Recommend and oversee corporate policies and procedures for handling special investigation of claims in response to federal and state regulations.

Specialized Knowledge & Skills Requirements

• Demonstrated experience providing customer-driven solutions, support or service
• Demonstrated effective people management or project leadership experience.
• Solid knowledge of property and casualty claims operations including claims processes, procedures, best practices, and service levels.
• Solid knowledge of special investigation operations to include processes, performance measures, strategies, insurance fraud schemes and associated indicators.
• Demonstrated experience investigating suspected insurance fraud activity involving multi-line auto and property claims.
• Demonstrated experience developing and delivering anti-fraud detection training to internal and external business partners.
• Demonstrated experience actively participating in special investigation industry associations and collaborating with special investigation industry peers to combat insurance fraud activity.
• Solid knowledge of appropriate federal, state and local laws, regulations and practices pertaining to states within designated operating territory.

Prior SIU Leadership experience (5 years minimum)

This position is a hybrid role that involves working a minimum of 10 days per month in the office. We know flexibility is important to our employees and their families, and we will continue to offer flexibility in this flex office/home role. This approach will guide us in balancing the needs of the business, customers and our employees.

Preferred locations for this role include:

Madison, WI; Chicago, IL; Boston, MA; Minneapolis, MN; Denver, CO; Phoenix, AZ; Nashville, TN;

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We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

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