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Insurance Fraud Investigator II

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11/27/2025 (7:00 PM EST)
25-06909
Insurance Fraud Investigator II
Pay Grade
15
Salary
$3,960.94 - $5,941.50 Monthly
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Click here for more details on state employment.
Hiring Agency
Public Protection Cabinet | Department of Insurance
Location
Location Varies,USA
,br>Candidate will maintain a home office in their home county and will serve the entire state of Kentucky. The selected candidate must reside within 100 miles of Hopkins County.
Description
The Department of Insurance, Division of Insurance Fraud Investigation’s mission is to protect the Commonwealth through conducting fair and impartial criminal investigations, and other related activities for the purpose of deterring insurance fraud. Insurance fraud harms the public through the increase of premiums paid for insurance coverage. By statute, it is a criminal act to engage in insurance fraud and criminal penalties are an important element in the prevention and/or deterrence of such crimes.

We are looking for an Insurance Fraud Investigator II to join our team of highly skilled professionals. As an Insurance Fraud Investigator II, you will perform professional level work in conducting the more complex and sensitive investigations and other related activities for the purpose of determining whether violations of criminal laws relating to insurance fraud have occurred; and performs other duties as assigned.

Responsibilities include, but are not limited to, the following:
  • Plans and conducts professional investigations for sensitive, complex referrals of persons and entities suspected of violating insurance fraud laws. Coordinates case files and investigative report with other investigators and management. Compiles detailed investigative reports.
  • Works closely with administrative staff to compile comprehensive case files & prosecutor notebooks. Communicates with insurance companies & their Special Investigation Unit. Consults with staff attorneys & the Office of Legal Services on case preparation and litigation. Draft, present and discuss with prosecuting attorney information for the preparation & prosecution of criminal practices.
  • Assists Investigators with conducting investigation, interviewing witnesses and preparing detailed case reports. Assist in training new investigators. Catalogues, marks and secures evidence. Interprets and enforces departmental rules, regulations and policies in performing investigative work.
  • Works with other law enforcement agencies (local, state and federal) and insurance company special investigative units to develop insurance fraud and other related criminal cases. Conducts presentations in reference to insurance fraud as needed.
  • Performs other duties as assigned.
Peace Officer Professional Standards (POPS) Certification is required. For more information about POPS certification please visit: https://docjt.ky.gov/

Skills and Expectations include but are not limited to the following:
  • Attention to detail.
  • Excellent verbal and written communication skills.
  • Time management.
  • Teamwork.
  • Organization skills.
Reasons to work for us include:
  • Paid leave (sick, annual, etc.) and paid holidays
  • Training/career development opportunities
  • Educational and tuition assistance
  • A variety of affordable health, dental and vision insurance options, flexible spending accounts, and first day health insurance coverage
  • Life insurance
  • Retirement
  • Deferred compensation
  • Wellness incentive programs
  • Employee discounts on electronics, health and wellness, retail, travel/events/entertainment, services/education
  • Telecommuting and flexible work schedules
Applicants must be currently authorized to work in the United States for any employer.

If you are interested in a challenging yet rewarding career where you can make a positive impact in your community, we would love to review your application for Insurance Fraud Investigator II within the Department of Insurance.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.


EXPERIENCE, TRAINING, OR SKILLS: Must have four years of experience in investigative law enforcement or a related field of investigation.


Substitute EDUCATION for EXPERIENCE: NONE


Substitute EXPERIENCE for EDUCATION: Experience in investigative law enforcement OR experience in the insurance industry, an insurance regulatory agency or related field in financial analysis, claims adjusting investigation, management, or experience dealing with substantive insurance issues will substitute for the required education on a year-for-year basis.


SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): Must be twenty-one years of age. Must possess a valid driver's license prior to employment in this job classification. Employees in this job title are subject to the provisions of KRS Chapter 15 and 503 KAR 1:140 relating to peace officer certification as administered by the Kentucky Law Enforcement Council. Must maintain any required licensure(s), certification(s), or other credentials for the length of employment in this classification. Employing agency is responsible for ensuring employee possesses and maintains required licensure(s), certification(s) or other credentials.
Working Conditions
Will have frequent contact with the general public. May work irregular hours. Statewide travel is required and may be required to travel out of state for investigations, coordinate efforts with other jurisdictions, and training. Hazardous duty as related to law enforcement including arrests that could result in physical effort or altercation.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Eric Stone at eric.stone@ky.gov or (502)782-7558.
An Equal Opportunity Employer M/F/D

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