Major Case Specialist

As a major case specialist, you’ll identify, investigate, and resolve potentially fraudulent claims with organized insurance fraud activity. You’ll focus on claims with pre-meditated, collusive activity by multiple parties or deliberate fraud by third-party service providers and vendors. In this role, you’ll determine the full scope and network of fraud schemes along with implementing and recommending proactive, risk-mitigating tactics. This is a field position with frequent travel.

Duties & Responsibilities (upon Completion Of Training)

• Perform investigative fieldwork and utilize appropriate investigative tools (i.e. databases, informational resources, and public records)
• Set and execute investigative strategies for handling multiple insurance claims including relationships between parties
  
  

Qualifications

• A minimum of six years of relevant work experience with three years in claims handling and/or investigation
• {OR} Associate's degree and a minimum of five years of relevant work experience with three years in claims handling and/or investigation.
• {OR} Bachelor's degree or higher and a minimum of three years in claims handling and/or investigation.
• This position requires a valid driver's license and auto insurance.
• This position requires compliance with Progressive's driving standards and/or policies.
  
  

Preferred Skills

• At least five years of experience handling a variety of complex insurance claims and investigations and either current or prior insurance special investigations experience
• Detecting collusive activity by multiple parties and/or deliberate fraud by third party service providers and vendors
• Developing and executing investigative action plans to address potential organized fraud.
• Serving as a subject matter expert in providing fraud awareness, guidance, and mentorship to Claims personnel.
• Networking with industry personnel, law enforcement, legal counsel, Departments of Insurance, and the National Insurance Crime Bureau
  
  

Schedule: Monday - Friday

Compensation

• $87,200-$116,200/year
• Gainshare annual cash incentive payment up to 24% of your eligible earnings based on company performance
  
  

Benefits

• 401(k) with dollar-for-dollar company match up to 6%
• Medical, dental & vision, including free preventative care
• Wellness & mental health programs
• Health care flexible spending accounts, health savings accounts, & life insurance
• Paid time off, including volunteer time off
• Paid & unpaid sick leave where applicable, as well as short & long-term disability
• Parental & family leave; military leave & pay
• Diverse, inclusive & welcoming culture with Employee Resource Groups
• Career development & tuition assistance
  
  

Equal Opportunity Employer