SIU / Claims Investigator

Allied Universal • Virginia Beach, VA

3d

About The Position

Allied Universal® Compliance and Investigation Services is hiring a SIU / Claims Investigator to investigate insurance claims with red flags suggesting potential fraud. The investigator applies knowledge of insurance policies and fraud indicators to determine whether claims warrant reporting to the appropriate state agency for prosecution. The role involves investigating a range of coverage types, gathering and evaluating information, documenting work, preparing professional reports, and communicating with clients and their Special Investigation Unit supervisors.

The position pays $25–$32 per hour. Applicants must have a Private Investigator’s license before applying and a valid driver’s license with at least one year of driving experience. The role requires flexibility to work varied and irregular hours and days, including weekends and holidays.

Requirements

• Possess a bachelor’s degree in Criminal Justice, or a high school diploma or higher plus at least five years of demonstrated professional law enforcement experience, with specific attention to fraud-related investigations.
• Be able to obtain and maintain any Private Investigator license required by the state where work is completed; a Private Investigator’s license is required before applying.
• Successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• 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.
• Be proficient in using laptop computers and cell phones.
• Have Special Investigative Unit (SIU) compliance knowledge.
• Type at least 40 words per minute with minimal errors.
• Be flexible 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.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• A 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.
• Acquire and gather information using discretion and guidance from clients and case managers through data collection, interviews, research, and collaboration with 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, expert 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, with thorough documentation and effective communication with clients and their Special Investigation Unit supervisors.

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
• Career Level: Mid Level
• Education Level: High school or GED