Pay Philosophy
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

Description
Assumes full responsibility for conducting moderately to highly complex, confidential investigations of allegations of impropriety and fraud. Independently investigates allegations of fraud risk and improprieties involving internal and external agent/agencies, point of sale and policy misrepresentations, employee misconduct and/or fraud, financial irregularity, vendor billing and conduct, and other complex cases. Proactively plans and executes fraud risk reviews searching for anomalies and/or potentially fraudulent activity. Collaborates with investigative partners across Claims SIU, Global Compliance & Ethics, Fraud Detection & Investigations, Talent, Employee Relations, Finance, Treasury, and Liberty Management. Prepares detailed fact based reports within organizational standards and communicates investigative findings to organizational management and investigative partners. Provides meaningful input and guidance in the Continuous Improvement Process. Participates in projects as requested.

• Conducts investigations of alleged improprieties and potential insurance fraud or misrepresentation involving new business sales, insurance policies, identity theft, service vendors, billing and payment fraud, corporate sabotage, theft of corporate resources, inappropriate use of company resources, business record alteration, and others.
• May investigate highly confidential matters involving employee misconduct, including improper system access, alteration of business records, theft, collusion, kickbacks, conflicts of interest, embezzlement, sales and financial improprieties, violations of the Code of Business Conduct and Ethics and others.
• Uses and develops subject matter expertise related to data tools used within the department to identify and investigate anomalies and potential fraud.
• Tools may include software retrieval packages, electronic databases, search engines, open source data, and data manipulation software.
• Assists in triaging investigative requests.
• Uses all available sources to determine the validity of any allegations received.
• Directs and monitors progress on assigned multiple concurrent investigations.
• Ensures all investigative work, which may include work completed by others, is complete, accurate, professional, legally supported, and fully documented.
• Prepares detailed reports for presentation to company management, investigative partners and to law enforcement entities when fraudulent activity is identified.
• May take corrective action against a policy to adjust rating factors or cancel the risk.
• Participates in and may take a lead role monitoring the proactive detection tools.
• Identifies high risk areas to be monitored.
• Meets planned cadence of data reviews addressing fraud risk areas.
• Evaluates results and prepares summary reports for LMI Management.
• Notifies management and compliance of any control weaknesses identified and offers solutions to mitigate risks.
• Ensures compliance to standards and regulations.
• May conduct or assist Talent or GC&E with formal interviews of subjects.
• Ensures all company and legal procedures are followed during the interview process.
• May develop and deliver coaching and disciplinary documents to internal employees and/or outside agents.
• Assists with special requests received by senior or executive management.
• Coordinates the collection of data for law enforcement and internal management requests.
• Leads complex continuous improvement efforts by providing feedback and recommendations on investigative process and tool changes that will result in a better product being delivered.
• Participates in developing, enhancing, and delivering fraud awareness and training programs.

• Bachelor`s Degree in a Business or Criminal Justice field, or equivalent training
• Certified Fraud Examiner designation is preferred
• 3 to 5 years related work experience in an investigation capacity required
• Related experience in Distribution, Underwriting, Sales, Treasury, Finance or Claims handling experience is preferred
• Experience must be related to the focus of the role posted
• Displays effective research, problem solving, analytical, critical thinking, influencing, relationship management, and presentation skills
• Ability to support change and impart value within an organization
• Ability to perform in an automated audit environment
• Formal interview skills
• Some travel may be required with little or no notice

• California
• San Francisco
• Los Angeles
• Philadelphia