SIU Desk Investigator

$46,000 - $77,300/Yr

Merastar Insurance Company - Henderson, NV

Full-time - Entry Level

Remote - Henderson, NV

5,001-10,000 employees

Insurance Carriers and Related Activities

About the position

The SIU Desk Investigator I is responsible for investigating simple claims that may involve elements of fraud or are otherwise deemed suspicious. This role includes handling single exposure losses and non-represented PIP/Med Pay claims, as well as performing task-based items such as EDR pulls and vehicle inspections. The investigator will utilize various investigative techniques and document actions thoroughly while ensuring compliance with state regulations.

Responsibilities

• Uses appropriate field, computer, and telephone investigative techniques.
• Documents all investigative actions in a thorough, timely, and appropriate manner.
• Attends necessary training schools and participates in training to develop and improve skills.
• Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management.
• Responsible for communicating critical situations to the Special Investigation Unit and field managers.
• Develops and maintains contacts with other Special Investigative Units and fraud-related organizations.
• Routinely practices independent judgement and discretion.
• Must conform to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled.
• Performs all other duties as assigned.

Requirements

• A minimum of two years claims handling experience and demonstrated ability to recognize and handle suspicious claims activity.
• Two years of experience in private or law enforcement sector with knowledge of effective investigative techniques.
• Excellent written and verbal communication skills.
• Thorough working knowledge of computers and ability to type proficiently.
• Ability to operate efficiently in a modern 'paperless' environment.

Nice-to-haves

• Bilingual in Spanish preferred.
• Demonstrates effective and diplomatic oral and written communication skills.
• Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.

Benefits

• Qualify for your choice of health and dental plans within your first month.
• Robust 401(k) match, Health Spending Accounts, and various retirement plans.
• Tuition Assistance Program, paid certifications, and continuing education programs.
• Opportunities to contribute to the community through United Way and volunteer programs.
• Generous paid time off and business casual dress.
• Employee discounts for shopping, dining, and travel through Kemper Perks.