Opportunity Description
Job Description
Responsibilities
Leads and independently manages SIU responses to regulatory exams, audits, and program‑level information requests, including coordinating timelines, reviewing investigative materials,preparingandsubmittingresponses, and engaging with compliance, legal, and senior leadership asappropriate.
Ensures investigationscomply withapplicable state insurance fraud statutes, SIU requirements, and internal compliance standards.
Implements and adheres toestablishedfraud and SIU policies, procedures, and investigative frameworks.
Provides feedback and recommendations to leadership on opportunities for process improvement, efficiency, or training.
Leads, mentors, and develops team members, fostering accountability and continuous improvement within the unit.
Supports the improvement of team performance by tracking key performance indicators,identifyingtren...
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