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    Claims Fraud Investigator - New York, United States - MABSTOA

    MABSTOA
    MABSTOA New York, United States

    4 weeks ago

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    Description

    Job Description

    Job DescriptionJob Information Title: Claim Fraud Investigator - JVN 7127 First Date of Posting: 04/26/2024Last Date of Filing: 05/11/2024 Authority: OA/TA Department: LawDivision/Unit: Special Investigation UnitReports to: Director, Special Investigation UnitWork Location: 130 Livingston Street, Brooklyn, NYHours of Work: As required Compensation:Claim Fraud Investigator (Grade H, 342 points): $71,142 - $112,450 Responsibilities:
    • Detect and investigate claims frauds and conduct investigations through fieldwork, research, surveillance, and other means, including joint investigations with law enforcement agencies and insurance carriers.
    • Assist in the training of claims examiners to recognize suspicious claims activity.
    • Claims include workers' compensation, no-fault, bodily injury, and property damage.
    • Strong knowledge of medical fraud.
    • Participate in undercover investigations.
    • Seek remedies against those committing fraud, including referral to prosecutors for criminal prosecution as well as assisting the Law Department in pursuing civil remedies.
    • Maintain cooperative and productive relationships with enforcement agencies, insurance carriers and organizations dedicated to combating claims fraud.

    Education and Experience

    Claim Fraud Investigator
    • Bachelor's degree in a related field. An equivalent combination of education and experience may be considered in lieu of a degree.
    • Minimum 3 years related experience, including at least 2 years in a managerial and/or supervisory role.
    Desired Skills
    • Knowledge in insurance claims and/or claims fraud investigations and/or law enforcement detective experience.
    • Experience using social media in the conduct of investigations.
    • Undercover investigation and/or white-collar crime investigation experience.
    • Strong written and verbal-communications skills.
    Selection Method:
    Based on evaluation of education, skills, experience, and interview. Other Information
    Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").
    Equal Employment OpportunityMTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities. The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.
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