Investigator I (Bilingual Preferred) The Company: Aflac Columbus The Location: GA, US, 31999 The Division: Compliance Job Id: 6317 Salary Range: $42,000 - $98,000 Job Posting End Date: May 29, 2024 We’ve Got You Under Our Wing We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way. Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com. Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac. Work Designation. This role is designated as ahybridrole, meaning you will be expected to work at an Aflac location in Columbus, GA, for at least 60% of the work week. You will work from your home within the continental U.S. for the remaining portion of the work week. Details of this schedule will be discussed with your leadership. What does it take to be successful at Aflac?
Acting with Integrity
Communicating Effectively
Pursuing Self-Development
Serving Customers
Supporting Change
Supporting Organizational Goals
Working with Diverse Populations
What does it take to be successful in this role?
Microsoft Word: Basic
Proficient in Microsoft Outlook, Excel and Access
Basic understanding of both civil and criminal court proceedings, including rules of evidence
Excellent presentation, oral, written, and interpersonal communication skills to effectively interact with senior management, internal and external customers, and agency representatives
Education & Experience Required
Bachelor's Degree In Criminal Justice, Business Administration, or a related field
One year of related work experience (law enforcement, SIU, insurance investigation, internal audit, etc.)
Or an equivalent combination of education and experience
Education & Experience Preferred
Beginning progress toward one or more of the following designations/certifications: Fraud Claims Law Specialist (FCLS), Health Care Anti-Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI)
Ability to proficiently read and write both English and Spanish
Travel
Less than or equal to 10%
Principal Duties & Responsibilities
Assists business units in recognizing and identifying indicators of fraud as a part of the normal business process; actively participates in Special Investigative Unit (SIU) associations, seminars, and training opportunities; stays abreast of current fraud trends and patterns; keeps management informed about any events or occurrences that could be construed to be fraud or other indications of problems
Receives referrals of suspected fraud; conducts preliminary investigations to determine if the circumstances warrant an in-depth investigation, and investigates suspicious transactions and situations where evidence of fraud exists; develops a detailed investigative plan of action; conducts in-person or telephone interviews with witnesses, policyholders, physicians, associates, employers, and others identified during the investigative process; obtains recorded and/or written statements; conducts all investigations in a thorough and timely manner as required by procedures and legal requirements; provides status of investigations to management and to the referring business unit; prepares a summary and detailed report following standard format to ensure proper documentation of all reported cases and investigations; maintains and assembles files, working paper reports, and other documentation in the designated format and in accordance with the appropriate guidelines for the level of confidentiality and security required
Maintains understanding and knowledge of the various state and federal insurance statutes; develops and maintains liaison relationships with law enforcement agencies; coordinates with federal, state, and local courts, and the appropriate state insurance department of investigations being worked or completed; prepares detailed evidence packages for referral to law enforcement and/or internal/external counsel; refers founded cases of fraud to these agencies for future criminal or civil action; testifies before civil and criminal courts and administrative hearings
Performs other related duties and/or projects as required
Total Rewards
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. Compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate. The salary range for this position is $42,000 to $98,000.
In addition to the base salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock. On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state mandated sick leave (Washington employees accrue 1 hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to sick and safe leave, and adoption and parental leave, in all states and localities.
Nearest Major Market:Columbus GA