SIU Investigator

Plymouth Rock Assurance•Boston, MA

2d•$70,000 - $99,500

About The Position

The SIU Investigator is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims and auto property matters to simpler application fraud issues. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work and coordinates efforts with industry fraud units, claim personal, counsel, law enforcement and agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. May conduct fraud awareness training and/or investigate research. The individual will work in the field and be provided a company issued computer, phone and vehicle.

Requirements

Individual must have one of the following:
Bachelor’s Degree in Criminal Justice or
An Associate’s Degree plus a minimum of two years experience with insurance related employment.
A minimum of five years of experience within the insurance industry.
A minimum of five years of law enforcement experience.
Valid Connecticut Drivers License
Strong Computer Skills (Microsoft Excel, Word, Access and Outlook)
Strong verbal and writing skills
Working knowledge of Home and Auto Policies

Nice To Haves

Prior P&C SIU experience preferred
Bi-lingual in Spanish would be preferred
Knowledge of big data (link analysis, predictive modeling tools etc... not mandatory but preferred).
Knowledge of medical terminology and treatment plans

Responsibilities

Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.
Good File analyses/decision making when reviewing file documentation.
Maintain diary to meet requirements for status reports on all investigations.
Successfully completes investigation addressing all referral issues.
Will complete a minimum of nine hours of anti-fraud training a year.
Will participate in conducting fraud awareness training to company associates.
Network with law enforcement and other investigators within the SIU Industry.
Adhere to privacy guidelines.
Cover large geographic areas.
Complete accurate monthly reports and submit to supervisor timely

Benefits

Paid time off
Free onsite gym at our Boston location
Tuition reimbursement
Low cost and excellent health insurance coverage options that start on Day 1 (medical, dental, vision)
Robust health and wellness programs
Auto and home insurance discounts
Matching donation opportunities
Annual 401(k) employer contribution
Various Paid Family leave options including Paid Parental Leave
Resources to promote professional development
Convenient locations and pre-tax commuter benefits