SIU / Claims Investigator

Allied Universal • Hampton, VA

5d • $25 - $32

About The Position

Allied Universal is hiring a SIU / Claims Investigator to investigate insurance claims with indicators of potential fraud. The investigator applies knowledge of insurance policies and fraud to assess whether claims warrant reporting to the appropriate state agency for prosecution. Investigations may involve workers’ compensation, general liability, property and casualty, and disability coverage.

The role requires a Private Investigator’s license before applying, a valid driver’s license, and at least one year of driving experience. Investigators develop strategies for assignments, gather and verify information, document their work, and communicate findings to clients and their Special Investigation Unit Supervisor. The position requires flexibility to work varied and irregular hours, including weekends and holidays. Pay is $25–$32 per hour.

Requirements

• Possess a Private Investigator’s license before applying and be able to obtain any license required by the state where work is completed.
• Hold a bachelor’s degree in Criminal Justice, or have a high school diploma or higher and at least five years of demonstrated professional law enforcement experience, with specific attention to fraud investigations.
• Have at least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
• Have a proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in the home state and designated regional area.
• Have proficient laptop computer and cell phone skills.
• Have Special Investigative Unit (SIU) compliance knowledge.
• Type at least 40 words per minute with minimal errors.
• Be able to work varied and irregular hours and days, including weekends and holidays.
• Possess a valid driver’s license and at least one year of driving experience.
• Successfully complete the Allied Universal Investigations training/orientation course after an offer.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• Professional industry certification such as Certified Fraud Investigator (CFE), Certified Insurance Fraud Investigator (CIFI), Fraud Claim Law Associate (FCLA), Fraud Claim Law Specialist (FCLS), Certified Protection Professional (CPP), Associate in Claims (AIC), or Chartered Property Casualty Underwriter (CPCU).

Responsibilities

• Independently investigate suspected fraudulent insurance claims across workers’ compensation, general liability, property and casualty, and disability coverage.
• Gather information using discretion and guidance from clients and case managers through data collection, interviews, research, and collaboration with other SIU entities, law enforcement, and state Departments of Insurance.
• Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed.
• Produce professional reports, memos, and letters that are clear, concise, and grammatically correct.
• Run appropriate database indices when necessary and verify the accuracy of results.
• Independently develop strategic plans to achieve assignment objectives, maintain thorough documentation, and communicate effectively with clients and their Special Investigation Unit Supervisor.

Benefits

• Medical, dental, and vision insurance.
• Basic life and AD&D insurance.
• Retirement plan.
• Disability insurance.
• Seven paid holidays annually.
• Sick days where required by law.
• Vacation time accruing initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time