SIU Investigator

Allied Universal • West University Place, TX

12d

About The Position

Allied Universal® Compliance and Investigation Services is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags indicating possible fraud. The investigator applies knowledge of insurance policies and fraud indicators to determine whether claims warrant referral to the appropriate state agency for prosecution. The position includes field work and offers an auto allowance and company credit card for fuel and travel.

Requirements

• Possess 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 specifically related to fraud investigations.
• Be able to obtain the Private Investigator license required in the state where work is performed.
• Successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• Have at least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
• Demonstrate proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in the home state and designated regional area.
• Be proficient in using laptop computers and cell phones.
• Have Special Investigative Unit (SIU) compliance knowledge.
• Type at least 40 words per minute with minimal errors.
• Be flexible to work varied and irregular hours and days, including weekends and holidays.
• 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 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 coverage types including workers’ compensation, general liability, property and casualty, and disability.
• Gather information using discretion and direction 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.
• Prepare professional, expert 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 strategic plans to meet assignment objectives, maintain thorough documentation, and communicate effectively 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 accrual starting 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.

What This Job Offers

• Job Type: Full-time