SIU Investigator

Allied Universal•Louisville, KY

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with indicators of possible fraud. The investigator applies knowledge of insurance policies and fraud to determine whether claims warrant reporting to the appropriate state agency for prosecution. The role investigates claims across several coverage types and uses research, interviews, data collection, documentation, and collaboration with clients and other investigative entities to meet assignment objectives. A Private Investigator’s license is required before applying, along with a valid driver’s license and at least one year of driving experience. The investigator must be able to work varied and irregular hours, including weekends and holidays, and complete the company’s investigations training/orientation course after receiving an offer.

Requirements

  • Must have a bachelor’s degree in Criminal Justice, or a high school diploma or higher and at least five years of demonstrated professional law enforcement experience with specific attention to fraud-related investigations.
  • Must have at least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
  • Must be able to obtain the Private Investigator license required by the state where work is completed; the posting also states that a Private Investigator’s license is required prior to applying.
  • Must possess a valid driver’s license and at least one year of driving experience.
  • Must have a proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in their home state and designated regional area.
  • Must have knowledge of Special Investigative Unit (SIU) compliance.
  • Must be proficient in using laptop computers and cell phones.
  • Must be able 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 successfully complete Allied Universal Investigations training/orientation after an offer.

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 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 assignments.
  • 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 a strategic plan to achieve assignment objectives, with thorough documentation and effective communication with clients and their 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 accrues initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.
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