SIU Investigator

Allied Universal • Pittsburgh, PA

5d

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with indicators of possible fraud. The investigator applies knowledge of insurance policies and fraud to determine whether claims warrant reporting to the appropriate state agency for prosecution. The role covers workers’ compensation, general liability, property and casualty, and disability claims. The candidate must reside in the state listed in the job posting and have a valid driver’s license with at least one year of driving experience. The pay rate is $27–$32 per hour.

Requirements

• Must have a bachelor’s degree in Criminal Justice, or a high school diploma or higher and at least five years of demonstrated professional law enforcement experience, with specific attention to fraud-related investigations.
• Must be able to obtain any Private Investigator license required by the state where work is performed.
• Must successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• At least five 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 in the candidate’s home state and designated regional area.
• Proficiency using laptop computers and cell phones.
• Knowledge of Special Investigative Unit (SIU) compliance.
• Ability to type at least 40 words per minute with minimal errors.
• Flexibility to work varied and irregular hours and days, including weekends and holidays.
• Valid driver’s license and at least one year of driving experience.
• Must reside in the state listed in the job posting.

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) designation.
• Chartered Property Casualty Underwriter (CPCU) designation.

Responsibilities

• Independently investigate suspected fraudulent insurance claims across 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 other 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.
• Prepare professional reports, memos, and letters that are clear, concise, and grammatically correct.
• Run appropriate database indices when necessary and verify the accuracy of results.
• Independently develop strategic plans to meet assignment objectives, document work thoroughly, and communicate effectively with clients and their 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 accrual beginning at 3.08 hours biweekly; unused vacation is paid out where required by law.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED