Special Investigator

Summary of Job Description :

The Special Investigator supports the PRG Risk Management program by investigating and mitigating workers' compensation fraud, abusive claims, and other related misconduct. This position conducts investigations, analyzes data for fraud indicators, and documents all findings to reduce exposure and enhance claims integrity.

Responsibilities

• Plans and executes investigations into suspected workers' compensation fraud, insurance abuse, and related associate misconduct. Performs red flag assessments of injury claims and evaluates potentially fraudulent activities, including falsified documents.
• Collaborates with external investigators and legal teams to develop case strategies.
• Utilizes data mining and social media analysis tools to identify inconsistencies and recommend targeted surveillance. Conducts AOE / COE (Arising Out of Employment / Course of Employment) investigations and analysis to determine claim validity.
• Summarizes findings to support claim denial or mitigation strategies.
• Conducts fraud awareness training for staff and management as needed.
• Assists with guest issues on occasion, providing support for risk management-related incidents.
• Contributes to developing policies related to reducing claims fraud and abuse. Ensures investigations are in compliance with all applicable safety and associate relations / EEO policies.

How we reward you :

Qualifications - External

Your background and experience :

Pay Range : P2 : $72,500- $101,500 per year

LI-Hybrid

ADA Statement :

While performing duties, counter areas are often hot with steam from steam table and food vapors. Workspace is restricted and employees are generally expected to remain standing for long periods of time. Employees must prepare hot and cold foods, use Chinese cook knife and other kitchen equipment and work quickly without losing accuracy. Employees must be able to lift up to 50 lbs., stand up to four hours and reach across counter tops measured at 36 inches to serve customers. Kitchens are hot and noise levels are usually high; storage space is limited and shelving is high. Employees must be able to work in a fast-paced work environment, have effective verbal communication skills, ability to adapt to a dynamic environment with changing priorities, and the ability to manage conflicts / difficult situations.

Panda Strong since 1983 :

Founded in Glendale, California, we are now the largest family-owned American Chinese Restaurant concept in America. With close to 2,300 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Whether it’s impacting our team or the communities we work in, we’re proud to be an organization that embraces family values.

You’re wanted here :

We value diversity in all forms and know the strength it brings. Workplace equality allows for creative ideas to bloom, diverse points of view to be heard, and improves overall happiness. We like the sound of that.

Panda Restaurant Group, Inc. is an Equal Opportunity Employer and is committed to providing equal opportunity, and does not discriminate on the basis of any characteristic protected by law, including but not limited to sex / gender (including pregnancy, childbirth, lactation and related conditions), gender expression, race, color, religion, national origin, sexual orientation, gender identity, disability, age, ancestry, medical condition, genetic information, marital status, and veteran status. Additionally, Panda Restaurant Group, Inc. complies with all federal, state, and local laws regarding requests for workplace accommodations.  If there is a reason you believe you require an accommodation, please reach out to our accommodation team vie email at PandaLOA@PandaRG.com.

Salary : $72,500 - $101,500