OverviewTo identify, investigate and make appropriate recommendations for the disposition of losses and claims which appear fraudulent in nature. Acts as a liaison between company and appropriate government fraud bureaus. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements
Responsibilities- Conducts in -depth investigation of claims submitted to SIU which may be suspicious. Makes appropriate recommendations for the disposition of claims.
- Provides advice and guidance to the claims technical staff on ways of recognizing fraudulent claims.
- Confers and works with law enforcement officials in civil and criminal investigations and prosecutions. Assists defense counsel on cases in litigation due to fraud or arson.
- Examines damaged property for related and/or related damage, identification number tampering, maintenance stickers and proof of alleged betterment.
- Takes necessary action to preserve evidence.
- Keeps abreast of the latest legislation and court decisions that relate to insurance fraud and through programs set up for that purpose.
- Documents every file as to action taken and information obtained as well as a complete report outlining the investigation for later use in court or other legal proceedings.
- Assist in the disposition of salvage to assure maximum recovery and prevent misuse of identifying numbers and salvage documents.
QualificationsKnowledge and Requirements- Proficient with software applications including Microsoft Word.
- Familiarity with Windows OS.
- Preferred working knowledge of Microsoft PowerPoint, and Excel.
- Must have valid state-issued driver's license in good standing and be able to drive an automobile.
Education and Experience- College degree preferred.
- 2-4 years claims experience.
Total RewardsSelective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay RangeUSD $73,000.00 - USD $94,000.00 /Yr.
