SIU Investigator

Allied Universal•Dallas, TX

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags indicating potential fraud. The investigator uses knowledge of insurance policies and fraud to assess whether claims warrant reporting to the appropriate state agency for prosecution. The role offers flexibility and field work, with an auto allowance and company credit card for fuel and travel. A valid driver’s license and at least one year of driving experience are required.

Requirements

  • Possess a bachelor’s degree in Criminal Justice, or a high school diploma or higher plus at least five years of demonstrated professional law enforcement experience with specific attention to fraud-related investigations.
  • Be able to obtain the private investigator license required by the state where work is performed.
  • Successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
  • Have at least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
  • Have a proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in the home state and designated regional area.
  • Be proficient in using laptop computers and cell phones.
  • Have knowledge of Special Investigative Unit (SIU) compliance.
  • Type at least 40 words per minute with minimal errors.
  • Be flexible to work varied and irregular hours and days, including weekends and holidays.
  • Possess a valid driver’s license and at least one year of driving experience.

Nice To Haves

  • Military experience.
  • Law enforcement experience.
  • Insurance administration experience.
  • Familiarity with California SIU regulations.
  • One or more of the following certifications: Certified Fraud Investigator (CFE), Certified Insurance Fraud Investigator (CIFI), Fraud Claim Law Associate (FCLA), Fraud Claim Law Specialist (FCLS), Certified Protection Professional (CPP), Associate in Claims (AIC), or Chartered Property Casualty Underwriter (CPCU).

Responsibilities

  • Independently investigate suspected fraudulent insurance claims involving workers’ compensation, general liability, property and casualty, and disability coverage.
  • Gather information using discretion and guidance from clients and case managers through 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 assigned work.
  • Produce clear, concise, grammatically correct professional reports, memos, and letters.
  • Run appropriate database indices when necessary and verify the accuracy of results.
  • Independently develop strategic plans to achieve assignment objectives, maintaining thorough documentation and communicating effectively with clients and the Special Investigation Unit Supervisor.

Benefits

  • Medical, dental, and vision insurance.
  • Basic life and AD&D insurance.
  • Retirement plan.
  • Disability insurance.
  • Seven paid holidays annually.
  • Sick days where required by law.
  • Vacation accrued initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.
  • Auto allowance and company credit card for fuel and travel.
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