Investigator

SAIF•Pendleton, OR

1d•Onsite

About The Position

SAIF is seeking an investigator to conduct detailed investigations of workers’ compensation claims in northeast Oregon. The role involves interviewing injured workers, employers, and witnesses, as well as gathering documents, capturing video observations, and collecting other evidence. The primary objective is to produce objective reports that facilitate accurate claim management decisions. The ideal candidate will be organized, flexible, and self-motivated. The selected candidate must reside and work within 60 commutable miles from Pendleton, Oregon.

Requirements

Reside and work within 60 commutable miles from Pendleton, Oregon.
Possess and maintain a valid driver’s license in their state of residence along with an acceptable driving record according to SAIF’s policy.

Nice To Haves

Three years of investigative experience in insurance claims, criminal justice, or a related field which demonstrates ability to analyze facts and use investigation tools.
Prior experience with workers’ compensation insurance and/or surveillance investigations.
High school diploma or equivalent.

Responsibilities

Evaluate investigation requests to determine action required and develop investigation plans.
Identify appropriate questions as needed to gather facts.
Interview injured workers, providers, employers, witnesses, and other pertinent individuals by phone and in person to obtain facts needed to complete investigations.
Investigate third party and catastrophic losses.
Make field observations and conduct surveillance to identify activity levels and patterns of injured workers and make recommendations for further investigations.
Prepare and submit timely, objective, concise and accurate written reports of findings.
Secure evidence and documentation as required to support facts gathered through investigation.
Testify and present evidence at administrative hearings and other legal proceedings.
Develop and refer relevant information to SAIF’s SIU, third party, return –to work, premium audit, safety services, underwriting and other appropriate SAIF resources and divisions.
Participate in internal and external training opportunities to develop and maintain a working knowledge of relevant aspects of workers’ compensation rules, regulations, corporate policy, and investigative related issues.
Explore diverse perspectives and consistently behave sensitively toward differences in cultural norms, expectations, and ways of communicating.
Work effectively with others who have different perspectives, backgrounds, and/or work styles.
This position requires driving a SAIF vehicle or personal vehicle on behalf of SAIF. The incumbent is required to possess and maintain a valid driver’s license in their state of residence along with an acceptable driving record according to SAIF’s policy.