SIU Investigator

Allied Universal • Quincy, MA

7d

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with indicators of potential fraud. The role uses knowledge of insurance policies and fraud to determine whether claims warrant reporting to the appropriate state agency for prosecution. Investigations may involve workers’ compensation, general liability, property and casualty, and disability coverage. The position pays $28–$34 per hour and includes auto and travel allowances.

Requirements

• Must have a bachelor’s degree in Criminal Justice, or a high school diploma or higher with at least five years of demonstrated professional law enforcement experience, specifically involving fraud-related investigations.
• Must be able to obtain any Private Investigator license required by the state where work is completed.
• Must 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 in the candidate’s home state and designated regional area.
• Proficient in 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.
• Must be flexible to work varied and irregular hours and days, including weekends and holidays.
• Must have a 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 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, expert 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, with thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.

Benefits

• Medical, dental, and vision coverage.
• Basic life, AD&D, and disability insurance.
• Retirement plan.
• Seven paid holidays annually.
• Sick days where required by law.
• Vacation accrues initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.
• Auto and travel allowances.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level