SIU Analyst

BP&C•Omaha, NE

1d•Onsite

About The Position

We are looking for a highly capable SIU Analyst to serve in a support role for our investigative teams in both Argo and Farm Family on basic and major investigations. This position reports to the Director, SIU & Compliance in Richmond, VA. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Requirements

Bachelor’s degree from an accredited university required.
Must be licensed or have the ability to quickly obtain a license within one year.
A minimum two (2) years of practical knowledge of SIU investigations, fraud detection techniques, and investigative analytics
Must have good business acumen (i.e., understand how an insurance company works and makes money, including how this role impacts both Clearbrook's and our customers’ ability to be profitable).
Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
This role primarily faces problems and issues that are generally not complex but require an understanding of a broader set of issues.
A strong focus on execution in getting things done right.
Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused Thinking with a global mindset first.
Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.
Must have excellent communication skills and the ability to build lasting relationships.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Excellent evaluation, analytical, and strategic thinking skills required.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
Presents information clearly, concisely, and accurately.
Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partners.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

Nice To Haves

A Certified Insurance Fraud Investigator (CIFI) designation plus one other industry designation (such as CIFA, CIFR, AIC, or CPCU or four additional years of related experience beyond the minimum experience required above may be substituted in lieu of a degree.

Responsibilities

Working under technical direction, applies established investigative methodologies and analytical techniques to support the identification, investigation, and deterrence of suspected instances of insurance fraud under both the Argo and Farm Family brands in both claims and underwriting.
Conducts ISO searches, background checks, social media investigations, and other research activities as directed by the SIU teams of Argo and Farm Family.
Ensures data is updated and maintained in claims and SIU source systems to support investigative efforts and accurate case documentation.
Analyzes social media results, public records, and other intelligence sources to determine whether claimant activities, employment status, or reported losses are consistent with claim presentations.
Initiates proactive data investigations and identifies emerging fraud patterns, organized fraud rings, repeat exposure trends, and other indicators of potentially fraudulent activity.
Assists SIU investigators in both Argo and Farm Family throughout the investigative lifecycle by gathering, organizing, and analyzing information from multiple data sources.
Performs audits and reviews as requested by SIU leadership to ensure compliance with fraud identification procedures, red flag requirements, and investigative best practices.
Applies knowledge of Property & Casualty, Workers’ Compensation, and other commercial insurance industry services and processes in support of fraud investigations.
Collaborates with claims, underwriting, legal, and SIU team members to support investigations and fraud prevention initiatives.
Assists with the development, enhancement, and utilization of case management platforms, investigative tools, and data modeling capabilities.
Effectively communicates with the SIU team on general observations and provides ongoing feedback on fraud trends, developments, and investigative opportunities.
Assists with fraud awareness training for claims and underwriting staff and serves as a resource for fraud detection and referral processes.
Demonstrates initiative in identifying more effective investigative tools, technologies, workflows, and analytical techniques.
Ensures the confidentiality and security of sensitive information throughout the investigative process.