Investigative Officer 3 (SIF)

About the position

The Investigative Officer 3 position at the New York State Insurance Fund (NYSIF) involves overseeing and coordinating the activities of the Division of Confidential Investigations (DCI) to combat insurance fraud. The role requires leading a team of investigators, collaborating with various authorities, and utilizing investigative expertise to mitigate fraud against the NYSIF. The incumbent will also be responsible for performance evaluations, staff supervision, and maintaining professional relationships with legal and law enforcement entities.

Responsibilities

• Lead a team of investigators assigned statewide to investigate claims fraud against the New York State Insurance Fund.
• Assist in identifying methods to detect insurance fraud and abuse at the earliest moment and mitigate loss to the Fund.
• Act as a liaison with local, state, and federal high-level insurance fraud officials and private sector leaders to identify, investigate, and assist in prosecution of healthcare fraud.
• Attend meetings with investigators and prosecutors regarding case referrals and ongoing prosecutions.
• Collaborate with other state and federal fraud investigative and law enforcement organizations to develop shared resources to detect and prevent fraud.
• Administer and review performance evaluations, probationary reports, and counseling memoranda; supervise staff in the unit.
• Monitor potential problem areas to limit vulnerability and propose remedial actions.
• Handle confidential and sensitive matters as needed from the Director of Confidential Investigations.
• Assist investigators in gathering and analyzing documentary evidence from various sources to determine the validity of allegations.
• Support investigators' database searches and gather public and private intelligence information.
• Accompany team investigators in surveillance at worksites, private homes, and businesses.
• Assist investigators with interviews and obtain affidavits from subjects and witnesses.
• Utilize investigative expertise to build strong criminal cases when appropriate.
• Maintain professional contact with legal counsel and other high-level officials to assist in prosecution of healthcare fraud.
• Participate in training opportunities to enhance investigative skills.

Requirements

• An associate's degree or higher in criminal justice or related field, OR
• Six years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, OR
• Eight years of professional investigation experience involving economic or insurance-related matters.
• One or more years of experience in a supervisory role or managing an investigator program (preferred).

Nice-to-haves

• Experience in public accounting
• Knowledge of workers' compensation law

Benefits

• Paid holidays
• Health insurance
• Dental insurance
• Flextime
• Vision insurance
• Loan forgiveness
• Opportunities for advancement