Senior Associate - SIU Investigator

Location Designation: Hybrid - 3 days per week 

 

SIU Investigator – Senior Associate, Risk Management

Location Designation: Home Office, Hybrid (3 days per week) 

 

This position is hybrid - Tuesday - Thursday in the New York Office and Monday and Friday work from home.

ROLE DESCRIPTION:

The SIU Investigator is a key contributor to New York Life’s efforts to prevent, detect, and resolve fraudulent activity. This role is responsible for conducting detailed investigations into allegations of fraud or other dishonest acts involving employees, vendors, agents, clients, and other parties. The investigator will employ advanced investigative techniques, evaluate evidence for credibility, conduct interviews, and collaborate with internal and external stakeholders to achieve timely and accurate outcomes.  The ideal candidate should have a strong investigative background, exceptional analytical and communication skills, and expertise in fraud prevention, detection, and resolution. They must also demonstrate a familiarity with insurance laws, fraud and regulatory statutes, and company policies, products, and procedures.

 

KEY RESPONSIBILITIES:

• Conduct detailed investigations into suspected fraud, ensuring all evidence is documented and analyzed thoroughly.
• Interview clients, claimants, witnesses, management, persons of interest and other involved parties to gather essential information and uncover critical facts.
• Collaborate with business stakeholders, the Office of the General Counsel, Corporate Compliance, Agency Standards and other supporting functions to conduct and support investigations effectively.
• Refer cases to law enforcement, representatives of governmental entities (Departments of Insurance) and other investigative agencies as necessary.
• Examine transactions, records, and data to identify patterns, inconsistencies, and red flags. Develop investigative plans and strategies based on findings.
• Conducting internal and external database searches.
• Secure and document evidence for use in disciplinary actions, civil litigation, or criminal prosecutions.
• Document the SIU Case Management System with daily investigative activity and draft clear, concise, and detailed investigative reports to present findings and support decision-making.
• Conduct Company-wide fraud awareness training.
• Monitor industry trends and participate in fraud-related associations to remain informed about emerging schemes and techniques.
• Testify in court or administrative proceedings when required to support case outcomes.
• Conduct field investigations and interviews, sometimes on short notice, primarily within the domestic U.S.

 

 

REQUIRED SKILLS & EXPERIENCE:

• Bachelor’s degree (Criminal Justice, Business Administration, Law, Accounting or related majors preferred).
• 5+years of relevant work experience (life insurance/SIU/law enforcement investigative experience preferred).