SIU Investigator

Hagerty

1d•Remote

About The Position

The Claims team has an opportunity for a SIU Investigator. The Special Investigator investigates and identifies questionable and suspicious claims, communicating with claims personnel, insurance carriers, law enforcement, and government regulatory agencies to prevent and deter fraud. Ready to get in the driver’s seat? Join us! What you’ll do Conduct timely investigations including recorded statements and interviews Provide timely status updates Timely and clear documentation of Claim Files Meet claim audit scores target. Maintain highest level of confidentiality and professionalism Accept assigned referral of questionable claims with an appropriate investigative action plan Ensure accuracy, quality and timeliness of the evidence gathered during an investigation as well as compliance with all applicable laws, legal codes, and governing agencies Provide Claim Adjuster with timely investigation results and document investigative findings Determine whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc. Properly provide recommendations and decisions surrounding investigative efforts to include request for authorization for Examinations Under Oath to be conducted Determine whether vendor involvement is needed to include budget and management of the investigation Perform detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation Properly evaluate and complete state compliance referrals, as applicable, when questionable or suspicious activity is identified Assist in providing fraud awareness training to claim staff Assist the claim department and give guidance in the handling of questionable claims as needed Maintain active membership in professional organizations that provide SIU assistance and resources Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting when needed or required This might desribe you Must be detail oriented Ability to work with highly confidential information Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity Must have ability to interact with clients, repair shops and appraisers Maintain high level of accuracy Ability to work independently and lead others Maintains highest level of confidentiality and professionalism Excellent verbal and written communication skills Good organization and time management skills Strong investigative skills necessary Demonstrate knowledge of tools and techniques needed for conducting fraud investigations Demonstrate proficiencies with computer software Other things to note This role can be worked from any U.S. remote location. Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable. For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations. Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable. Say hello to Hagerty Hagerty is an automotive enthusiast brand and the world’s largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile. Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member. At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world. If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Vermont, Washington, British Columbia, Canada please email [email protected] for compensation, comprehensive benefits and the perks that set us apart. #LI-Remote EEO/AA US Benefits Overview Canada Benefits Overview UK Benefits Overview If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Hagerty is an automotive enthusiast brand committed to saving driving and to fueling car culture for future generations. We are a leading provider of specialty vehicle insurance, expert car valuation data and insights, live and digital car auction services, immersive events and automotive entertainment custom made for the 67 million Americans who self-describe as car enthusiasts. Hagerty also operates in Canada and the U.K. and is home to Hagerty Drivers Club, a community of over 800,000 who can’t get enough of cars. We are a rapidly growing company that values a winning, values-driven culture. We provide meaningful work for, and invest in, every single team member.

Requirements

Must be detail oriented
Ability to work with highly confidential information
Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity
Must have ability to interact with clients, repair shops and appraisers
Maintain high level of accuracy
Ability to work independently and lead others
Maintains highest level of confidentiality and professionalism
Excellent verbal and written communication skills
Good organization and time management skills
Strong investigative skills necessary
Demonstrate knowledge of tools and techniques needed for conducting fraud investigations
Demonstrate proficiencies with computer software
Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable.
For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations.
Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable.

Responsibilities

Conduct timely investigations including recorded statements and interviews
Provide timely status updates
Timely and clear documentation of Claim Files
Meet claim audit scores target.
Maintain highest level of confidentiality and professionalism
Accept assigned referral of questionable claims with an appropriate investigative action plan
Ensure accuracy, quality and timeliness of the evidence gathered during an investigation as well as compliance with all applicable laws, legal codes, and governing agencies
Provide Claim Adjuster with timely investigation results and document investigative findings
Determine whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
Properly provide recommendations and decisions surrounding investigative efforts to include request for authorization for Examinations Under Oath to be conducted
Determine whether vendor involvement is needed to include budget and management of the investigation
Perform detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation
Properly evaluate and complete state compliance referrals, as applicable, when questionable or suspicious activity is identified
Assist in providing fraud awareness training to claim staff
Assist the claim department and give guidance in the handling of questionable claims as needed
Maintain active membership in professional organizations that provide SIU assistance and resources
Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting when needed or required