SIU Field Investigator

Sentry Insurance Agency•Winston-Salem, NC

3d•Hybrid

About The Position

You will conduct investigations into suspicions of insurance fraud on assigned claims, ranging from basic to moderately complex investigations involving multiple lines of business. The ideal candidate’s location for this position is in the Greensboro, NC Triad area and surrounding cities. This role will primarily work from home with travel required in and around the area.

Requirements

Bachelor’s degree or equivalent work experience.
2+ years of related work experience required.
Ability to travel as necessary to satisfactory complete their job responsibilities as assigned.
Strong investigative skills along with ability work effectively with members of the claim staff and the law enforcement community.
Strong written and oral communication skills and the creativity to recognize potential fraud and develop a reasonable plan for investigating potential fraud cases.
Proficient and effective use of various computer software applications and the ability to adapt to new technologies when introduced.

Nice To Haves

Degree in Police Science, Police Administration or Criminal Justice beneficial.
4+ years of related work experience preferred.
The ability to speak both Spanish and English is preferred.
Prior experience in some aspect of law enforcement, claims handling and/or criminal investigation preferred.

Responsibilities

Conduct basic to moderately complex claims investigations on potentially suspect/inflated auto, workers’ compensation, and commercial claims.
Compile and analyze information from internal and external sources.
Conduct interviews.
Hire independent contractors.
Refer claims to various law enforcement entities as required by law.
Investigate claims, both inside and outside the home office, to identify suspect or inflated claims across all lines of business.
Conduct scene investigations, take recorded statements, and assign independent contractors.
Compile and analyze data and information from internal and external sources to aid in making suspect claims decisions that adhere to state and federal laws.
Verify legitimacy of documents as necessary.
Conduct recorded interviews and examinations under oath of insureds, claimants, and witnesses for claims that involve suspicious indicators.
Maintain detailed investigation notes within SIU case management and claim systems.
Prepare summary reports to capture findings and recommend course of action to management which may include referring to law enforcement.
Communicate with company, industry and law enforcement fraud agencies (i.e. NICB, Index Bureau, FBI, etc.).
Communicate non-confidential material to claim staff concerning conclusions on suspicious claims submitted to the SIU.
Represent the company in court appearances as a possible witness on suspected fraudulent claims, including state and/or federal courts or grand jury hearings.
Motivate the claim staff to combat fraud and inflated claims using techniques such as creating office banners and visual aids, publishing specific case results and conducting meetings.

Benefits

Materials for home office.
Laptop provided prior to start.
Equipment for home office provided by Sentry.
Company car with fuel card.
Meal Subsidy available for associates who report to an office.
401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting.
Continue your education and career development through Sentry University (SentryU).
Tuition Reimbursement program.
Generous Paid-Time Off plan.
Volunteer-Time off.
Group Medical, Dental, Vision, Life insurance.
Parental leave.
Health and Wellness benefits.
Well-being and Employee Assistance programs.
Sentry Foundation gift matching program.