SIU Investigator

American Security Programs

453d • $66,560 - $79,040 • Remote

About The Position

The SIU Investigator role at Allied Universal® Compliance and Investigation Services involves investigating insurance claims that exhibit signs of fraudulent behavior. The investigator will utilize their expertise in insurance policies and fraud detection to assess claims and determine if they should be reported to state agencies for prosecution. This position offers opportunities for remote work and includes a company credit card for travel-related expenses.

Requirements

• Bachelor's degree in Criminal Justice or a High School diploma with a minimum of five (5) years of professional law enforcement experience focused on fraud investigations.
• Ability to be properly licensed as a Private Investigator as required by the state of work.
• Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
• Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
• Proficient in utilizing laptop computers and cell phones.
• Special Investigative Unit (SIU) Compliance knowledge.
• Ability to type 40+ words per minute with minimum error.
• Flexibility to work varied and irregular hours including weekends and holidays.

Nice To Haves

• Military experience
• Law enforcement experience
• Insurance administration experience
• Familiarity with California SIU regulations
• Certified Fraud Investigator (CFE) certification
• Certified Insurance Fraud Investigator (CIFI) certification
• Fraud Claim Law Associate (FCLA) certification
• Fraud Claim Law Specialist (FCLS) certification
• Certified Protection Professional (CPP) certification
• Associate in Claims (AIC) certification
• Chartered Property Casualty Underwriter (CPCU) certification.

Responsibilities

• Independently investigate suspected fraudulent insurance claims for various coverage types including workers' compensation, general liability, property and casualty, and disability.
• Acquire and gather information through discretion, guidance from clients, and case managers via 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 and expert reports, memos, and letters that are clear, concise, and grammatically correct.
• Run appropriate database indices if necessary and verify the accuracy of results found.
• Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.

Benefits

• Pay Rate: $32 - $38 / hr
• Medical, dental, vision, basic life, AD&D, and disability insurance
• Enrollment in the company's 401(k) plan, subject to eligibility requirements
• Seven paid holidays annually, sick days available where required by law
• Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full-time positions. Unused vacation is only paid out where required by law.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED