Bachelor's degree or equivalent professional experience.
3-7+ years in P&C claims, SIU, or investigations.
Strong fraud identification and analytical skills.
Effective communication and documentation abilities.
Experience in cross-functional collaboration.
Industry designations like AIC, CIFI, CFE, or CPCU are a plus.
Responsibilities
Oversee SIU vendor to ensure compliant investigative activity.
Review investigative reports for accuracy and completeness.
Support SIU training on fraud awareness and best practices.
Maintain compliance with documentation and regulatory standards.
Analyze investigative data to identify trends and actionable insights.
Collaborate with Claims staff on high-level investigations.
Assist in developing SIU processes and performance metrics.
Benefits
Full benefit package including medical, dental, life, and vision insurance.
Company-paid short/long-term disability coverage.
401(k) plan with company contributions.
Tuition assistance for further education.
Opportunities for internal promotion.
Full Job Description
The SIU Analyst supports the Special Investigations Unit by providing oversight of our SIU vendor, ensuring investigations are properly managed, documented, and aligned with regulatory and internal standards. This role partners closely with the vendor, Claims leadership, and internal teams to drive high-quality investigations, support SIU training and increased SIU engagement, and maintain compliance across all SIU related functions. The SIU Analyst also interprets investigative data, identifies trends, and helps strengthen fraud mitigation strategies within the Claims Department.
Minimum Qualifications:
Bachelor's degree or equivalent professional experience.
At least 3-7+ years in P&C claims, SIU, or investigations.
Strong fraud identification and analytical capability.
Effective communication and documentation skills.
Experience working cross-functionally.
Industry designations such as AIC, CIFI, CFE, or CPCU are beneficial but not required.
Primary Job Functions:
Provide day-to-day oversight of the SIU vendor to ensure timely, thorough, and compliant investigative activity.
Review investigative reports, findings, and recommendations to ensure accuracy, completeness, and alignment with departmental expectations.
Partner with the vendor and internal teams to support SIU-related training, including fraud awareness and investigative best practices.
Work with SIU vendor, compliance, and legal to maintain SIU compliance functions, including documentation standards, regulatory requirements, and reporting obligations.
Analyze investigative data, identify trends, and translate insights into actionable recommendations for Claims leadership.
Collaborate with Claims staff to support high level investigations and ensure proper escalation and case handling.
Assist in developing and refining SIU processes, workflows, and performance metrics.
Participate in audits, regulatory reviews, or special investigative projects as needed.
Assist with updates to SIU policies, procedures, and training materials as needed.
Support fraud prevention initiatives or cross departmental improvement efforts as needed.
The above-cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.
Skills & Competencies Required:
Demonstrates strong analytical ability to interpret investigative data and identify meaningful patterns.
Communicates clearly and professionally when presenting investigative findings or vendor performance updates.
Maintains high attention to detail when reviewing reports, documentation, and compliance requirements.
Builds effective working relationships with vendors, Claims teams, and leadership.
Applies sound judgment and investigative reasoning to support case evaluation and escalation decisions.
Manages multiple cases, deadlines, and priorities with disciplined organization.
Adapts quickly to evolving investigative needs, regulatory changes, and departmental priorities.
Uses reporting tools, SIU systems, and Microsoft Office efficiently to support analysis and communication.
Additional Information:
Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
The anticipated salary for this position is $75,000 - $125,000 per year, based on qualifications and experience.
Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting.
Fortegra is not accepting unsolicited resumes from search firms for this position.
Please be aware of job fraud(s) - all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.
