SIU Investigator

Allied Universal • Newark, NJ

7d

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags suggesting fraud. The investigator applies knowledge of insurance policies and fraud indicators to determine whether claims warrant reporting to the appropriate state agency for prosecution. The role requires independent investigation of claims across workers’ compensation, general liability, property and casualty, and disability coverage. The candidate must reside in the state listed in the job posting, hold a valid driver’s license, and have at least one year of driving experience. Pay is $27–$32 per hour.

Requirements

• Must have one or more of the following: 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 be able to obtain the Private Investigator license required by the state where the work is performed.
• After receiving an offer, must successfully complete the Allied Universal Investigations training/orientation course.
• 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.
• 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.
• Must reside in the state listed in the job posting.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• One or more professional industry 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 a strategic plan to achieve assignment objectives, maintaining thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.

Benefits

• Medical, dental, vision, basic life, AD&D, retirement plan, and disability insurance.
• Seven paid holidays annually.
• Sick days where required by law.
• Vacation time with an initial accrual rate of 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time