Senior Investigator – Special Investigations Unit at West Bend Insurance Company

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Jul, 26

Salary

97000.0

Posted On

02 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Fraud investigation, Claims investigation, Evidence gathering, Interviewing, Case development, Insurance fraud detection, Analytical skills, Report writing, Risk assessment, Legal collaboration, Data analysis, Digital research, AI-enabled fraud detection, Communication skills, Strategic planning, Mentoring

Industry

Insurance

Description

Company Overview 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. #LI-BW1 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. Enhanced 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.

Responsibilities

The investigator will detect and examine suspicious insurance claims across various lines of business to identify fraud and gather evidence. They will lead complex investigations, collaborate with legal and law enforcement teams, and produce detailed reports to support potential legal actions.