Insurance Fraud Investigator
State of Nebraska

Job Info

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Examples of Work
Qualified individuals must have the physical ability to make arrests and be able to protect oneself and citizens when circumstances dictate.

Duties: One. Receive and review complaints against those suspected of committing violations of the Insurance Fraud Act. Two. Performs investigations consisting of locating, interviewing and taking statements from witnesses and persons suspected of perpetrating an insurance fraud or those who have knowledge relating to said crime. Three. Analyzes referrals submitted to the Fraud Division which may lead to the review of insurance records, bank statements, audits, financial records, police reports, notes and letters, computer generated documents, medical records, photographs, billing invoices, receipts, warranties, personal checks, applications, and other record/statements during the course of an investigation which may point to guilt or innocence. Four. Review financial transactions including financial records, claim files and underwriting files of insurance companies as well as the books and records of other entities and private individuals. Five. Assist, consults, and coordinated investigations with other law enforcement agencies, insurance company personnel, and consumers. Makes custodial arrests when circumstances dictate. Six. Shall investigate cases independently or in conjunction with other law enforcement agencies. Prepare case reports and other correspondence of a routine nature during the course of an investigation for review by the immediate supervisor. Seven. Provide testimony before judicial and administrative bodies on matters relative to investigations pertaining to insurance fraud. Eight. Assist in the preparation and presentation of anti-fraud, informational, and prevention programs. Nine. Must carry firearms while on duty. Maintains proficiency by practice and certification.

1526 K Street, Suite 200, Lincoln, NE 68508

Hours: 40 per week / flex-time
Qualifications / Requirements
REQUIREMENTS: Please provide a copy of your resume and references with your application. Coursework/training in criminal justice, law enforcement, police science, criminology, or related field and experience conducting criminal investigations. Must currently hold or obtain Law Enforcement Certification or, through current or previous federal law enforcement certification, be able to obtain a commission as a Special State Deputy Sheriff. LEGAL REQUIREMENTS: (These qualifications are mandated by federal/state laws, statutes, and/or regulations.) Uncertified applicants must meet the minimum qualifications required for admission into the Nebraska Law Enforcement Training Academy in accordance with Title 79, Nebraska Administrative Code Chapter 8: Training Academy Admission Qualifications and Procedures. Incumbents must complete required yearly law enforcement continuing education and firearms requalification to maintain employment in this position.

SPECIAL NOTE: Agency will sponsor required training of uncertified candidates. Valid driver's license or the ability to provide independent authorized transportation for work-related travel. State agencies are responsible to evaluate each of their positions to determine their individual overtime eligibility status as required by the Fair Labor Standards Act (FLSA).
Knowledge, Skills and Abilities
Knowledge of: Rules of evidence, laws of arrest, search and seizure, and basic court procedures; Criminal investigation techniques and procedures; Principles of identification, preservation, and presentation of evidence relating to financial fraud, embezzlement, extortion, bribery, larceny, conspiracy etc.; General accounting and bookkeeping principles; Automated record systems. Prefer: Working knowledge of general accounting, bookkeeping principles, data entry operations and systems; Insurance products, underwriting process and claims adjusting desired. Ability to: Trace financial transactions through insurance operations; Analyze, prepare, and present evidence under criminal proof standards in writing and oral testimony; Review evidentiary leads and select and investigate leads effectively; Communicate at many levels; Plan and organize work; Interact with agency staff, law enforcement staff, insurance industry staff, and the public; Establish and maintain effective relationships with government officials, police units, insurance industry personnel and the general public; Apply advanced investigatory techniques; analyze evidence and other types of data; Follow and comply with all steps of due process; Prepare clear, concise written reports; Effectively obtain information from hostile or reluctant witnesses and the ability to establish and maintain effective relationships with government officials, police units, insurance industry personnel and the general public. Skill: With personal computers in Word, Power Point, and Excel; In tracing financial transactions insurance operations; Overall skills in application of advance/investigatory techniques are essential.

This job has expired.