Senior SIU Desk Investigator (Remote, Contract)

Assured • Palo Alto, CA

67d • Remote

About The Position

Assured is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim?), while often overlooked, is the foundation of the entire industry. It’s currently highly manual, involving phone calls, faxes, and gut instinct, costing tens of billions of dollars a year. We can do better.
At Assured, we provide large insurers with the software solutions they need to win in a modern, technology-driven world. From self-service claim-filing software to backend fraud detection, we’re the engine that powers claims processing for some of the largest insurers in the world.
The challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding.
As part of our mission to build the engine that powers modern claims processing, we are seeking a seasoned SIU Desk Investigator to bring human expertise to support us in fraud model development and training.
This is a fully remote, contract position for a self-directed expert with a rich background in auto SIU at major P&C carriers. You will be responsible for analyzing complex digital evidence to validate our system's reports.

Requirements

• Deep Carrier Experience: A minimum of 5+ years of direct experience as an SIU Investigator or SIU Adjuster within one or more large P&C insurance carriers, with a primary focus on personal or commercial auto lines.
• Proven Desk Investigation Skills: A demonstrated history of handling a significant caseload of desk-based SIU files from initial referral to final disposition.
• Digital Tool Proficiency: Expertise in using investigative databases and digital tools (e.g., LexisNexis, Thomson Reuters CLEAR, social media analytics platforms) to uncover and verify information.
• Strong Foundational Knowledge: A deep understanding of P&C insurance policies, complex claims handling processes, and state-specific fraud regulations.

Nice To Haves

• Specialized Expertise: Experience investigating specific or complex fraud types, such as organized medical fraud rings, staged accidents, or large loss property fraud.

Responsibilities

• Deliver Elite Investigative Reports: Author clear, concise, and detailed narrative reports that logically present investigative findings, synthesize digital evidence, and provide a well-supported recommendation on auto insurance claims. These reports will then be used to help develop our internal tooling.
• Master A Digital Toolkit: Conduct sophisticated digital investigations using a suite of third-party data sources.
• Go Beyond the Surface: Synthesize disparate data points from claim files, policy documents, and digital evidence to uncover hidden connections and validate fraud indicators.

Benefits

• Competitive Compensation: Enjoy a competitive salary and equity package!
• Comprehensive Health Care: Access to multiple medical plans with an HSA option and minimal out-of-pocket expenses. Certain plans covered 100%.
• Dental Insurance: We protect those pearly whites
• Vision Insurance: Everyone can see clearly now at Assured
• Life Insurance: It's on the house! Provided at no cost to you
• Paid Time Off: Uncapped vacation days and paid holidays. Take that vacation!
• Family Leave: Maternity and paternity leave options
• Financial Wellness: 401(k) contribution with Assured contributing 3% of your income, even if you don't contribute
• Flexible Spending Accounts: Health and dependent care FSAs for pre-tax flexible spending

What This Job Offers

• Career Level: Senior
• Education Level: No Education Listed
• Number of Employees: 101-250 employees