Manager – Special Investigations Unit
West Bend Insurance Company, West Bend, WI, United States
Job Summary
Lead the day-to-day operations of a Special Investigations Unit, overseeing investigators and driving effective fraud detection and investigation efforts. This role manages complex and high-risk cases, ensures compliance with legal and regulatory standards, and partners with internal teams and external agencies to prevent, detect, and resolve insurance fraud.
Work Location
This is not a remote position. Candidates who are located within 50 miles of our West Bend or Madison, WI office locations will work a hybrid schedule (at least 3 days/week) for collaboration days, team meetings or other in-person events.
Lead the Fight Against Fraud — SIU Manager
We’re looking for a strategic, hands‑on
Special Investigations Unit (SIU) Manager
to drive excellence in fraud detection, investigation, and prevention.
What You'll Do
Lead & Elevate SIU Operations
Oversee the day-to-day operations of the SIU, ensuring consistent investigative standards and best practices.
Guide investigators through complex, high‑exposure, and multi‑jurisdictional fraud cases, including organized fraud activity.
Review and approve critical investigative actions, referrals, and outcomes.
Build & Develop High-Performing Teams
Own the SIU talent strategy: hiring, coaching, development, succession planning, and performance management.
Mentor investigators and supervisors, fostering a culture of accountability, growth, and excellence.
Deliver investigative training and promote fraud awareness across the enterprise.
Ensure Compliance & Integrity
Ensure all investigations are thorough, defensible, and compliant with legal and regulatory requirements.
Maintain adherence to state insurance fraud statutes, reporting obligations, and regulatory expectations.
Support audits, regulatory exams, and external inquiries related to SIU operations.
Collaborate & Influence
Serve as a key liaison with law enforcement, fraud bureaus, and industry organizations.
Partner with Claims, Legal, Compliance, and Analytics teams to strengthen fraud detection and prevention strategies.
Contribute to fraud analytics initiatives, tools, and reporting enhancements.
Drive Insights & Performance
Monitor SIU metrics such as referrals, cycle times, and outcomes to identify trends and opportunities.
Manage vendor relationships and investigative technologies to optimize performance.
Lead initiatives that enhance fraud prevention and operational effectiveness.
What You Bring
Experience
7+ years in insurance investigations, fraud detection, or SIU operations
3+ years in a leadership role
Prior law enforcement experience is a plus
Expertise
Strong knowledge of P&C claims, fraud typologies, and investigative practices
Familiarity with fraud analytics tools, case management systems, and regulatory frameworks
Ability to manage complex investigations and make sound, defensible decisions
Leadership
Proven ability to lead, develop, and inspire high-performing teams
Strong communication skills with the ability to influence senior stakeholders
Education & Certifications
Bachelor’s degree in Criminal Justice, Business, Risk Management, Analytics, or related field
At least one professional certification required (CIFI, CFE, FCLS, FCLA), with multiple certifications preferred
Insurance or claims-related designations are a plus
Formal investigative or law enforcement training nice to have
Why This Role Matters
Fraud is constantly evolving—and so are we. In this role, you’ll have the opportunity to shape strategy, influence enterprise-wide decisions, and make a measurable impact. Your leadership will directly strengthen our ability to detect fraud, protect our customers, and uphold trust.
Salary Statement
The salary range for this position is $110,000–$145,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job‑related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.
Benefits
Medical & Prescription Insurance
Health Savings Account
Dental Insurance
Vision Insurance
Short and Long Term Disability
Flexible Spending Accounts
Life and Accidental Death & Disability
Accident and Critical Illness Insurance
Employee Assistance Program
401(k) Plan with Company Match
Pet Insurance
Paid Time Off – Standard first year PTO is 17 days, pro‑rated based on month of hire. Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance
West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO
West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement or promotion.
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Lead the day-to-day operations of a Special Investigations Unit, overseeing investigators and driving effective fraud detection and investigation efforts. This role manages complex and high-risk cases, ensures compliance with legal and regulatory standards, and partners with internal teams and external agencies to prevent, detect, and resolve insurance fraud.
Work Location
This is not a remote position. Candidates who are located within 50 miles of our West Bend or Madison, WI office locations will work a hybrid schedule (at least 3 days/week) for collaboration days, team meetings or other in-person events.
Lead the Fight Against Fraud — SIU Manager
We’re looking for a strategic, hands‑on
Special Investigations Unit (SIU) Manager
to drive excellence in fraud detection, investigation, and prevention.
What You'll Do
Lead & Elevate SIU Operations
Oversee the day-to-day operations of the SIU, ensuring consistent investigative standards and best practices.
Guide investigators through complex, high‑exposure, and multi‑jurisdictional fraud cases, including organized fraud activity.
Review and approve critical investigative actions, referrals, and outcomes.
Build & Develop High-Performing Teams
Own the SIU talent strategy: hiring, coaching, development, succession planning, and performance management.
Mentor investigators and supervisors, fostering a culture of accountability, growth, and excellence.
Deliver investigative training and promote fraud awareness across the enterprise.
Ensure Compliance & Integrity
Ensure all investigations are thorough, defensible, and compliant with legal and regulatory requirements.
Maintain adherence to state insurance fraud statutes, reporting obligations, and regulatory expectations.
Support audits, regulatory exams, and external inquiries related to SIU operations.
Collaborate & Influence
Serve as a key liaison with law enforcement, fraud bureaus, and industry organizations.
Partner with Claims, Legal, Compliance, and Analytics teams to strengthen fraud detection and prevention strategies.
Contribute to fraud analytics initiatives, tools, and reporting enhancements.
Drive Insights & Performance
Monitor SIU metrics such as referrals, cycle times, and outcomes to identify trends and opportunities.
Manage vendor relationships and investigative technologies to optimize performance.
Lead initiatives that enhance fraud prevention and operational effectiveness.
What You Bring
Experience
7+ years in insurance investigations, fraud detection, or SIU operations
3+ years in a leadership role
Prior law enforcement experience is a plus
Expertise
Strong knowledge of P&C claims, fraud typologies, and investigative practices
Familiarity with fraud analytics tools, case management systems, and regulatory frameworks
Ability to manage complex investigations and make sound, defensible decisions
Leadership
Proven ability to lead, develop, and inspire high-performing teams
Strong communication skills with the ability to influence senior stakeholders
Education & Certifications
Bachelor’s degree in Criminal Justice, Business, Risk Management, Analytics, or related field
At least one professional certification required (CIFI, CFE, FCLS, FCLA), with multiple certifications preferred
Insurance or claims-related designations are a plus
Formal investigative or law enforcement training nice to have
Why This Role Matters
Fraud is constantly evolving—and so are we. In this role, you’ll have the opportunity to shape strategy, influence enterprise-wide decisions, and make a measurable impact. Your leadership will directly strengthen our ability to detect fraud, protect our customers, and uphold trust.
Salary Statement
The salary range for this position is $110,000–$145,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job‑related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.
Benefits
Medical & Prescription Insurance
Health Savings Account
Dental Insurance
Vision Insurance
Short and Long Term Disability
Flexible Spending Accounts
Life and Accidental Death & Disability
Accident and Critical Illness Insurance
Employee Assistance Program
401(k) Plan with Company Match
Pet Insurance
Paid Time Off – Standard first year PTO is 17 days, pro‑rated based on month of hire. Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance
West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO
West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement or promotion.
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