Senior Investigator

Job Details

Description

The Senior Investigator is responsible for conducting complex investigations into agent activities and sales practices. This individual is responsible for reviewing legislative and statutory changes and responding to various inquiries from the regulatory departments or state insurance departments.

The Senior Investigator is also responsible for maintaining open internal communication channels between the Regulatory Compliance, Policy Administration, and the Sales Support team.

This position will support the work associated with the company-wide Anti-Fraud Working Group, and proactively seek additional opportunities to collaborate with and educate internal departments and staff on anti-fraud measures;

and engage with third party industry resources on best practices and educational opportunities. The Senior Investigator will work with internal staff on development and training for basic investigatory functions.

Essential Duties and Responsibilities :

• Fraud & Anti-Money Laundering
• Conducts formal Special Investigation Unit (SIU) investigations, such as elderly abuse situations where an unknown person is accessing money from a client annuity, forgery, general insurance fraud, which includes filing corresponding reports with appropriate agencies (OCC, Adult Protective Services, FBI, State Insurance Departments, etc.).
• Investigates agent activities and sales practices to ensure compliance with regulatory requirements and compiles the Company’s responses to investigation requests from state insurance departments.
• Maintains Company Fraud Detection and Prevention Program and Fraud Detection Training Guide (collectively, Anti-Fraud Program).
• Enhances compliance with insurance laws and regulations by filing annual fraud reports with the appropriate state regulatory agencies.
• Supports the Lead Investigator in organization and administration of the anti-fraud training annually for established Company employees and new hires in compliance with state regulations.
• Analyzes and files required anti-money laundering reports.
• Supports the Company Anti-Fraud Working Group, including developing content and discussion topics in order to foster collaborative Company Fraud prevention across business units.
• Compliance
• Supports new and existing life insurance and annuity products by implementing clear and easily understood manuals and other supporting materials.
• Assists with the development of applications, other forms, advertising, reference materials, web site content, and other product-related materials.
• Monitors new and revised regulatory developments to assure on-going compliance.
• Keeps apprised of new developments in the industry by monitoring insurance industry, consumer, legislative and technology trends.
• Reviews, gathers information and provides responses to various inquiries, such as subpoenas and inquiries from department of insurance.
• Additional Responsibilities
• Assists with consumer complaints by investigating and responding to consumer or state insurance departments as needed.
• Helps monitor Compliance in-box and willingly responds to business unit or escalates, as necessary.
• Researches laws, products and processes in order to respond to questions from internal customers.
• Provides guidance to Policy Administration, Information Technology and Sales and Marketing regarding any questions or new regulations.
• Willingly takes on additional responsibilities as requested in order to accomplish department and Company objectives.
• Supports the Regulatory Compliance team and other departments on an as needed basis.
• Actively participates and contributes to the goals and objectives of the Company by working collaboratively and fostering a positive and inclusive work environment.

Skills and Abilities :

• Knowledge and experience with legal and regulatory research applications.
• Experience in product filings with state insurance departments.
• Must have good mathematical, analytical, organizational and problem-solving skills and attention to detail.
• Effective communication and presentation skills, both verbal and written.
• Strong phone presence and skills in handling escalated calls under pressure.
• Ability to prioritize workflows, establish and meet deadlines and manage multiple concurrent tasks.
• Ability to work effectively in a variety of situations and respond to change in a positive manner.
• Advanced computer skills and the ability to navigate multiple systems and programs including Microsoft Office, proprietary systems and other technology solutions.
• Excellent interpersonal skills are required, including a high degree of professionalism.
• Carries out responsibilities in a manner that is consistent with EquiTrust’s Core Values and focus on customer service;

helps to create an environment of openness and trust for all employees and strives for continued professional skills development.

Training or Work Experience :

• Minimum 5 years of experience in the insurance industry required.
• Minimum 1 year performing or leading fraud investigations either autonomously or under the direction of a senior team member or manager required.
• 5 years of life and annuity experience preferred.
• 2 years of experience preferred

Education :

• High School Diploma or Equivalent required.
• Bachelor’s Degree preferred.

Working Conditions :

• On-Site Location : West Des Moines, Iowa.
• Business Travel : Infrequent travel (less than 5% of the time).

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EquiTrust is an Equal Opportunity Employer and participates in the U.S. Federal E-Verify program. Applicants have rights under federal and state employment laws.

To learn more, visit https : / / www.equitrust.com / careers / opportunities / applicant-notices /