Investigative Officer 2 (SIF)

About the position

The New York State Insurance Fund (NYSIF), Division of Confidential Investigations (DCI), is among the most active special investigations units in the country working with local, state, and federal authorities in the investigation, arrest and prosecution of individuals and businesses suspected of workers compensation and disability fraud involving NYSIF. DCI's mission is to reduce the instances of insurance fraud and abuse against NYSIF and to prevent and mitigate ongoing fraud. Reporting to Senior Investigative Officers, including the Chief of Investigations, the Investigative Officer 2 (SIF) will conduct investigations of workers compensation fraud, waste and abuse by claimants throughout the state. Investigative Officers handle matters of a confidential and/or sensitive nature.

Responsibilities

• Caseload management including the gathering and analysis of documentary evidence from various NYSIF departments, private investigator reports, police reports, payroll records, business records, medical records, financial records, and policyholder records to determine the validity of allegations.
• Assist Investigative Officer 3 and Investigative Officer 4 in the oversight and caseload management of Investigative Officer 1s by providing direction and guidance on the analysis and synthesis of the above referenced documentary evidence.
• Direct and manage advanced database research and intelligence gathering efforts into individuals, corporations, liens, property ownership, and other key areas.
• Supervise the collection of public and private intelligence, including social media activity, to support comprehensive investigations.
• Assist Investigative Officer 3 and Investigative Officer 4 by providing leadership in conducting surveillance at worksites, private residences, and businesses associated with claimants and other subjects of interest.
• Lead the interview and affidavit process, ensuring high-quality information is gathered from investigation subjects and witnesses, such as employers, coworkers, treating physicians, and hospital administrators.
• Supervise the acquisition of key documentary evidence, ensuring thorough investigation into concealed employment and illicit activities through the collection of payroll records, business records, receipts, contracts, and employer affidavits.
• Assist Investigative Officer 3 and Investigative Officer 4 in the review and approval of investigative reports, including narratives, evidence summaries, and legal referrals.
• Serve as a liaison with prosecutors, fraud investigators, and law enforcement officials to discuss case strategies, trends in workers' compensation fraud, and prevention techniques.
• Provide oversight and direction on sensitive and complex investigations, leveraging knowledge of workers' compensation laws on prosecutable cases.
• Collaborate with legal teams, including attorneys and prosecutors, on ongoing legal actions, ensuring investigative support for trials, grand juries, and Workers' Compensation Board hearings.
• Maintain and expand professional networks, representing NYSIF in engagements with local, state, and federal insurance fraud officials and private sector organizations.
• Stay abreast of emerging trends through participation in training, professional development and strategic discussions.
• Collaborate and ensure effective communication between DCI and other NYSIF departments.
• Demonstrate leadership in caseload management, investigative strategy, and operational execution.

Requirements

• One year of permanent service as an Investigative Officer 1 (SIF); OR
• An associates degree or higher in criminal justice or related field AND two years of insurance claims or law enforcement investigation experience or professional investigation experience with law enforcement agencies; OR
• A bachelor's degree AND one year of experience as described above; OR
• Six years of experience as described above; OR
• Eight years of professional investigation experience involving economic or insurance related matters.

Nice-to-haves

• Prior experience/involvement with criminal investigations.
• Familiarity with investigative databases.
• Experience with testifying or presenting matters to prosecutors.

Benefits

• Competitive Compensation.
• Future Career Growth Potential.
• Open and Supportive Team-Based Environment.
• Plentiful Vacation, Personal, and Sick Leave Accruals.
• Paid State and Federal Holidays.
• Full Medical, Vision, and Dental.
• Retirement Options.
• Public Student Loan Forgiveness (PSLF).
• Possibility of Telecommuting, Flextime, and Alternative Work Schedules.