SIU Investigator

Allied Universal•Houston, TX

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 components to assess claims and determine whether they warrant reporting to the appropriate state agency for prosecution. The role offers field work, an auto allowance, and a company credit card for fuel and travel. The investigator handles suspected fraudulent claims across workers’ compensation, general liability, property and casualty, and disability coverage. They gather information through data collection, interviews, research, and collaboration with clients, case managers, other SIU entities, law enforcement, and state Departments of Insurance. They also maintain detailed case documentation, produce professional reports and correspondence, verify database results, and develop investigation plans to meet assignment objectives and communicate effectively with clients and the SIU Supervisor.

Requirements

  • Must have 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-related investigations.
  • Must have at least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
  • Ability to obtain the required Private Investigator license in the state where work is completed.
  • Must successfully complete the Allied Universal Investigations training/orientation course after an offer.
  • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in the investigator’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.
  • Flexibility to work varied and irregular hours and days, including weekends and holidays.
  • Must possess 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.
  • Acquire and gather 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 directed assignments.
  • Produce professional, clear, concise, and grammatically correct reports, memos, and letters.
  • Run appropriate database indices when necessary and verify the accuracy of results.
  • Independently develop strategic plans to achieve assignment objectives, maintain thorough documentation, and communicate effectively with clients and their Special Investigation Unit Supervisor.
  • Determine whether claims warrant reporting to the appropriate state agency for prosecution.

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.
  • Auto allowance and company credit card for fuel and travel.
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