SIU Field Investigator

KemperSan Bernardino, CA
11d

About The Position

Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises. Position Summary The SIU Investigator III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations may include multi-feature and attorney represented losses. Basic functions include: Investigation of claims, analysis and development of facts and evidence, and conducting and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. The Special Investigator III will assist with mentoring new hires, special projects, training initiatives, and may be asked to fill in for the SIU Manager and provide work direction to other Special Investigators on a temporary basis. A laptop computer, printer, cell phone, MP3 recorder, and other office equipment will be provided. This position requires travel throughout the Inland Valley/Riverside/San Bernardino area.

Requirements

  • A minimum of 4 years as a Special Investigator II or 3 years as a Special Investigator II with FCLS, CIFI, or CFE certifications.
  • Excellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential.
  • Must have a working knowledge of digital photo/document metadata and using the internet/social networking for investigative purposes.
  • Possess a valid driver’s license and must meet qualifications for a company vehicle under the Company’s Vehicle Policy.
  • Demonstrates effective and diplomatic oral and written communication skills.
  • Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.
  • Sponsorship is not accepted for this position.

Nice To Haves

  • Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred.

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, develops contacts, and meets state regulatory educational requirements.
  • 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.
  • Assists with training and keeps all technical personnel advised of changes to law, fraud indicators, and tools available to combat fraudulent or suspicious claims.
  • Performs all other duties as assigned.

Benefits

  • Qualify for your choice of health and dental plans within your first month.
  • Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans.
  • Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs.
  • Contribute to your community through United Way and volunteer programs.
  • Balance your life with generous paid time off and business casual dress.
  • Get employee discounts for shopping, dining and travel through Kemper Perks.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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