• Responsible for insurance fraud detection and investigation services to reduce fraud-related claim payments and costs, while avoiding unwarranted risk • Ensures compliance with laws and regulations relating to claims handling and unfair claims practices and reporting statutes • Participates in the establishment and implementation of policies and procedures for fraud control and investigative practices • Performs leadership and management tasks, i.e., providing coaching, evaluating performance, review of time sheets, managing time off, conducting quarterly check-ins/ride-alongs, etc • Evaluates, authorizes, and implements actions and decisions to carry out proactive claim’s projects and investigations • Reviews and evaluates investigation recommendations from investigators to ensure results and case documentation support conclusions • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures