SIU Examiner

Safepoint MGA, LLC•New Orleans, LA

1d•Remote

About The Position

Safepoint Insurance is an admitted Property and Casualty Insurance carrier based in Tampa, FL, seeking an SIU Examiner in Louisiana. Our growing Claims Department is looking for self-motivated professionals to support our organization. This role is responsible for identifying and handling all aspects of claims fraud investigations, providing expertise and claim support in reviewing SIU reported claims, including claims analysis, research, investigation, and recommendations for further handling. The position also involves coordinating SIU training with associates.

Requirements

Louisiana Resident Adjuster License and ability to obtain and maintain reciprocal licensure for applicable states
At least 5 years of experience with a law enforcement agency or property claims handling experience.
Demonstrated ability to research and conduct proactive investigations.
Proficiency with Microsoft Office products required.
Excellent communication skills, ability to interact on a professional level with internal and external personnel and partners.
Ability to work independently in a fast-paced environment.
Detail-oriented and exceptionally organized.

Nice To Haves

Bachelor’s Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree.

Responsibilities

Receive referrals on questionable claims or other transactions, determine if further investigation is warranted and formulate a plan of action to handle if referral accepted.
Conduct investigation of assigned questionable claims including recorded interviews, database searches and evaluation of evidence necessary to determine the legitimacy of a claim.
Provide reports to management and assigned examiners as to findings and possible recommendations.
Coordinate investigations with approved SIU investigators and experts when necessary and provide guidance as needed.
Provide coaching, direction and training to associates in the realm of SIU investigations.
Analyze and identify trends from the claims data and provide reports when necessary.
Provide 626 requests to other carrier’s 626 designees and respond to 626 requests from other carriers.
Stay current on regulations and state laws.
Develops fraud detection and prevention programs.
Works with State DFS contacts and NICB.

Benefits

Market Competitive Wages commensurate with experience
Prof. Development and Educational Assistance Programs
Safe Harbor 401K Plan with Immediate Vesting and an Automatic Company Contribution
Paid Time-Off (Discretionary, PTO, Parental Leave, and others)
Company Paid Holidays
Health Insurance
Dental Insurance
Vision Insurance
Short and Long Term Disability Insurance (company paid)
Flexible Spending Accounts with Company Contribution
Health Savings Accounts with Company Contribution
Employee Life and AD&D Insurance
Dependent Life and AD&D Insurance
Company paid AAA Membership
Company paid Identity Theft Protection
Other Ancillary Insurance Benefit Programs