Senior Investigator – Special Investigations Unit, Illinois, Indiana, Michigan

West Bend Insurance Company

Senior Investigator handling insurance fraud investigations across Illinois, Indiana, and Michigan for a top workplace. Collaborating with internal and external partners to evaluate suspicious transactions.

Posted 8/2/2026full-timeIllinois, Missouri • 🇺🇸 United StatesSenior💰 $77,000 - $97,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates advanced investigative skills in insurance fraud, including evidence gathering, interviewing, and compliance with legal requirements. Proficient in using investigative databases and digital tools for analysis and documentation.

Highest-signal resume keywords

Fraud InvestigationEvidence GatheringClaims InvestigationInvestigative ReportingCollaborative Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Fraud InvestigationEvidence DocumentationClaims AnalysisInterviewing TechniquesInvestigative ProcessesData EntryDigital DocumentationFraud Detection ProgramsRegulatory ComplianceAnalytical Research

Soft Skills

Clear CommunicationCollaborative MindsetContinuous Learning

Tools & Technologies

Investigative DatabasesStandard Office SoftwareAI-Enabled Investigative ToolsDigital Photo/Video Documentation

Industry Keywords

Insurance FraudSIU SupportPersonal LinesCommercial LinesSpecialty LinesProperty InsuranceAuto InsuranceWorkers CompensationFraud ScoringRegulators

About the role

Key responsibilities & impact

Investigate suspected insurance fraud involving auto, property, casualty, workers’ compensation, and other personal, commercial, and specialty lines of business.
Work independently and collaboratively with internal stakeholders and external partners to evaluate and investigate suspicious insurance transactions (claims, underwriting, policy, etc.), collect evidence, support fraud detection programs, and communicate investigative findings to internal and external partners, regulators, and law enforcement.
Support fraud detection and investigation by identifying red flags, gathering facts, and documenting evidence in compliance with company policy and legal requirements.
Review claim files for basic red flags (inconsistencies, late reporting, coverage anomalies, questionable damages, medical billing issues).
Conduct and lead thorough investigations of suspect, high exposure, and complex insurance claims and underwriting/policy concerns, including personal, commercial, and specialty lines of business – including property, auto, workers compensation, and other coverage types.
Prepare detailed investigative reports for internal decision-making; support referrals to law enforcement or legal action when necessary, and where applicable to state fraud bureaus.
Maintain thorough documentation of investigative actions and work product in accordance with accepted SIU operating standards and best practices.

Requirements

What you’ll need

8-10 years of fraud investigation, claims investigation, SIU support, or related research/analyst experience or equivalent combination of education and experience.
Advanced insurance fraud investigative skills including evidence gathering and interviewing with demonstrated ability to follow investigative processes and best practices are essential
Clear written and verbal communication skills, including the ability to summarize complex findings; collaborative mindset and commitment to continuous learning as tools, regulations, and fraud tactics evolve.
Proficient in investigative databases and standard office software.
Ability to proficiently use computers and software for data entry, digital tools for research, and investigative analysis; digital photo/video documentation of loss scenes and evidence.
Ability to work effectively with AI-enabled investigative tools (e.g., fraud scoring)

Benefits

Comp & perks

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.
Enhance d PTO may be available for experienced candidates
Bonus eligible based on performance