SIU Investigator

Allied Universal•San Antonio, TX

About The Position

Allied Universal is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags suggesting potential fraud. The investigator applies knowledge of insurance policies and fraud to determine whether claims warrant reporting to the appropriate state agency for prosecution. The position offers field work, an auto allowance, and a company credit card for fuel and travel.

Requirements

  • Bachelor’s degree in Criminal Justice, or a high school diploma or higher with at least five years of demonstrated professional law enforcement experience with specific attention to fraud investigations.
  • Ability to obtain a Private Investigator license as required by the state where the work is performed.
  • Ability to 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 employee’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.

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.
  • Acquire information through data collection, interviews, research, and collaboration with clients, case managers, 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 achieve assignment objectives, ensuring thorough documentation and effective communication 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 time, initially accruing 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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