Senior Investigator – Special Investigations Unit

Remote Full-time
Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We’re committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary

Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, commercial, and specialty lines of business.

Work Location

This is a fully remote/work from home role where you will spend up to 50% of your time in the field, servicing the state of Arizona . On occasion you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Responsibilities & Qualifications

Uncover the truth. Protect what matters.

Insurance fraud isn’t just a cost of doing business—it impacts real people, real claims, and real trust. We’re looking for a seasoned investigator who knows how to connect the dots, challenge assumptions, and build cases that stand up to scrutiny.

If you thrive on solving complex puzzles, working high-impact cases, and collaborating with experts across legal, claims, and law enforcement—this role puts you right at the center of it all.

What You’ll Do

You’ll lead and support investigations across a wide range of insurance lines—auto, property, casualty, workers’ compensation, and more. From spotting early red flags to developing large-scale fraud cases, your work will directly influence outcomes and protect the integrity of our business.

In This Role, You Will
• Detect and investigate suspicious claims, underwriting activity, and policy irregularities
• Identify red flags, gather evidence, and document findings with precision and compliance
• Conduct deep-dive investigations into complex and high-exposure cases
• Lead major investigations into organized fraud schemes, partnering with legal teams and law enforcement
• Evaluate claims for inconsistencies—late reporting, questionable damages, billing anomalies, and more
• Develop and execute strategic investigative plans in collaboration with internal stakeholders
• Manage external vendors supporting investigative efforts
• Produce clear, compelling reports to support internal decisions and potential legal action
• Stay ahead of evolving fraud tactics, regulations, and investigative technologies
• Serve as a subject matter expert—training teams and mentoring fellow investigators

What You Bring

You’re analytical, detail-obsessed, and confident navigating complex investigations. You know how to turn fragmented information into a clear, evidence-backed narrative—and you’re comfortable presenting your findings to a range of audiences.

We’re Looking For Someone With
• 8–10 years of experience in fraud investigation, SIU, claims investigation, or similar roles
• Advanced investigative skills, including evidence gathering, interviewing, and case development
• Strong knowledge of insurance lines (auto, property, workers’ compensation, etc.)
• Excellent written and verbal communication skills
• Experience working with investigative tools, databases, and digital research methods
• Comfort using modern technology, including AI-enabled fraud detection tools
• A collaborative mindset and a drive to continuously learn and adapt

Why This Role Matters

This isn’t routine casework. You’ll play a key role in detecting and preventing fraud at scale—helping ensure legitimate claims are paid fairly and quickly, while fraudulent activity is stopped in its tracks.

Your work will have real impact, from internal decision-making to potential criminal prosecutions.

Ready to investigate what others overlook?

Apply today and bring your expertise to a team that values precision, integrity, and curiosity.

Salary Statement

The salary range for this position is $ 77,000-$97,000 .

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits

West Bend offers a comprehensive benefit plan including but not limited to :
• Medical & Prescription Insurance
• Health Savings Account
• Dental Insurance
• Vision Insurance
• Short and Long Term Disability
• Flexible Spending Accounts
• Life and Accidental Death & Disability
• Accident and Critical Illness Insurance
• Employee Assistance Program
• 401(k) Plan with Company Match
• Pet Insurance
• Paid Time Off . Standard first year PTO is 17 days , pro-rated based on month of hire. E nhance d PTO may be available for experienced candidates
• Bonus eligible based on performance
• West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.

EEO

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Business Development Representative

Remote

Experienced Operations and Provider Support Call Center Representative – Immediate Hiring for Remote Position with 6-Week Onsite Training in Camarillo, California

Remote

Senior Atlassian Consultant - Virtual Networx

Remote

Call Center Rep-Answering Service ? Nights/Weekends

Remote

Urgently Hiring: Client Support Assistant

Remote

Python- REMOTE

Remote

Clinical Documentation Specialist-Remote

Remote

Apply Now: Senior - Radiology Technologist - $29-43 per hour

Remote

Data Engineer with PYSPARK and Google Big Query

Remote

Accounting Associate/Accountant

Remote
← Back