Job Overview:The SIU Investigator is responsible for investigating suspicious claims, identifying potential fraud, and developing well-documented cases to support claim outcomes and potential prosecution.
Provides training and support to claims staff in support of strengthening identification of potential red flags and investigation strategies across the claims organization, to include statement taking, document analysis, and medical record review.
Directly involved in statement taking and other investigative activities as warranted. Works with the SIU Manager on annual training, onboarding, and compliance related activities, as needed.
Minimum Requirements:- Knowledge of property-casualty coverages, DOI regulations, legal concepts, and comprehension of contracts, case law, medical treatment and medical terminology.
- Must be results oriented and capable of conducting various investigations independently.
- Must have excellent communications skills to express ideas, interview parties, and be able to work collaboratively with and educate claims staff on investigation strategies.
- 5-7 years of insurance or investigative experience.
- Experience in handling of litigated claim files as well as mediation/arbitration/trial participation is preferred.
- Previous experience in law enforcement or fraud investigation is highly desirable.
- Professional designation and certifications (AIC, CPCU, NCFIA, SCFIA, IASIU, etc.) recommended.
- Must maintain a valid Driver License and ability to safely operate a vehicle.
- Candidates must be authorized to work in the United States without the need for current or future visa sponsorship.
Salary Range: $70,293.00 - $117,155.97
The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.
