SIU Investigator

Allied Universal•New York, NY
•$32 - $38

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags that may indicate fraud. The investigator uses knowledge of insurance policies and fraud indicators to determine whether claims should be reported to the appropriate state agency for prosecution. The role covers investigations involving workers’ compensation, general liability, property and casualty, and disability claims. Candidates must reside in the state listed in the job posting and hold a valid driver’s license with at least one year of driving experience. The pay rate is $32–$38 per hour.

Requirements

  • Must possess either 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 investigations.
  • Ability to obtain and maintain a Private Investigator license as required by the state where work is completed.
  • Successfully complete the Allied Universal Investigations training/orientation course after 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 within 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.
  • Must reside in the state listed in the job posting.
  • 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 professional 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 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.
  • Produce professional reports, memos, and letters that are clear, concise, and grammatically correct.
  • Run appropriate database indices when necessary and verify the accuracy of the 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 accruing initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.
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