SIU Auto Insurance Field Investigator- PA

Gainsco, Inc.•Glenside, PA

62d•Onsite

About The Position

Are You Driven? We Are. We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make on a daily basis. At GAINSCO, it is our people that set us apart. If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you. Why Join GAINSCO? GAINSCO's work environment rewards engaged individuals who have a desire to contribute and succeed. That's because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a champion with GAINSCO. We are seeking a skilled and detail-oriented SIU Field Investigator to join our team. As an SIU Field Investigator, you will play a crucial role in identifying and preventing fraudulent claims by applying your technical knowledge and human relations skills. If you have a background in claims and investigative experience and are dedicated to maintaining the highest standards of integrity, we invite you to apply for this exciting opportunity.

Requirements

High School Diploma or Equivalent.
To perform the essential functions of this job an active Texas or Florida Adjuster License will be preferred to comply with state and GAINSCO requirements.
Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.
All licenses must be maintained in accordance with state requirements.
Minimum of 4 years of auto insurance claims experience required.
Minimum 3 years of investigative experience required.
Excellent verbal and written communications skills
Ability to manage your own time while prioritizing multiple tasks
Ability to remain calm when dealing with difficult customers
Effective negotiating skills
Ability to gather and analyze information in order to evaluate results and choose the best solution to the problem
Field-based role with travel required. Preferred candidate location is Pennsylvania.
Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity
All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.

Nice To Haves

CFE (Certified Fraud Examiner) or CIFI (Certified Insurance Fraud Investigator) certification is a plus.
Preferred insurance handling experience for the states of: VA, MD, PA, NJ, OH, IL, FL, TX, UT, AL.
Bilingual (English/Spanish) preferred
Occasional weekend work may be required

Responsibilities

Conduct thorough investigations of suspicious claims, including background checks, public record searches, and field interviews.
Personally inspect vehicles, medical clinics, and accident scenes; collect evidence and take recorded statements.
Perform Examinations Under Oath (EUO) and canvass neighborhoods for additional information.
Use antifraud technology and investigative strategies to proactively identify questionable claims and initiate SIU referrals.
Work closely with adjusters and internal departments to share findings and coordinate investigative efforts.
Communicate with law enforcement, the National Insurance Crime Bureau (NICB), and regulatory agencies.
Provide training and guidance to claims staff on fraud indicators and investigative best practices.
Deliver timely updates and maintain detailed documentation in compliance with company and regulatory standards.
Work closely with adjusters and internal departments to share findings and coordinate investigative efforts.
Communicate with law enforcement, the National Insurance Crime Bureau (NICB), and regulatory agencies.
Provide training and guidance to claims staff on fraud indicators and investigative best practices.
Deliver timely updates and maintain detailed documentation in compliance with company and regulatory standards.
Ensure investigations are conducted within legal and regulatory timelines.
Stay current on industry trends, fraud schemes, and state-specific regulations.
Report systemic issues or process gaps that impact the customer experience or claim outcomes.

Benefits

Excellent benefits package: medical & dental, vision insurance, life insurance, short term and long term disability insurance.
Parental Leave Policy.
401K + Company Match.
PTO + Paid Company determined Holidays.

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