SIU Investigator
About The Position
The SIU Investigator is responsible for investigating suspicious claims, identifying potential fraud, and developing well-documented cases to support claim outcomes and potential prosecution. Provides training and support to claims staff in support of strengthening identification of potential red flags and investigation strategies across the claims organization, to include statement taking, document analysis, and medical record review. Directly involved in statement taking and other investigative activities as warranted. Works with the SIU Manager on annual training, onboarding, and compliance related activities, as needed.
Requirements
- Knowledge of property-casualty coverages, DOI regulations, legal concepts, and comprehension of contracts, case law, medical treatment and medical terminology
- Results oriented and capable of conducting various investigations independently
- Excellent communications skills to express ideas, interview parties, and be able to work collaboratively with and educate claims staff on investigation strategies
- 5-7 years of insurance or investigative experience
- Must maintain a valid Driver License and ability to safely operate a vehicle
- Authorized to work in the United States without the need for current or future visa sponsorship
Nice To Haves
- Experience in handling of litigated claim files as well as mediation/arbitration/trial participation
- Previous experience in law enforcement or fraud investigation
- Professional designation and certifications (AIC, CPCU, NCFIA, SCFIA, IASIU, etc.)
Responsibilities
- Investigating suspicious claims
- Identifying potential fraud
- Developing well-documented cases to support claim outcomes and potential prosecution
- Providing training and support to claims staff on identification of potential red flags and investigation strategies
- Conducting statement taking, document analysis, and medical record review
- Directly involved in statement taking and other investigative activities as warranted
- Working with the SIU Manager on annual training, onboarding, and compliance related activities
Benefits
- Accrue twenty-one days of Paid Time Off during your first year
- Up to eighty-seven percent of benefits are covered by CIG for you and your family members
- Medical, Dental, Vision plans, Telehealth
- One hundred percent covered plans
- Basic Life & AD&D
- Employee Assistance
- Leave Management
- Long Term Disability
- Short Term Disability (Outside of CA)
- Employee Benefit Advocacy Hot Line
- Family Caregiver Support (Homethrive)
- Child Care Resources (Tootris)
- Business Travel Accident Protection
- Voluntary benefit offerings
- Short-term Disability (CA only)
- Voluntary Life AD&D self, spouse, and child plans
- Flexible Spending (FSA)
- Health Savings (HSA)
- Hospital Indemnity
- Accidental Injury
- Pet Insurance
- Commuter Benefit
- Critical Illness
- ARAG Legal Services
- Norton LifeLock
- Nine paid holidays, plus two floating holidays
- Above and Beyond Reward Recognition Program
- Kudos & Shout Out Points Program
- Quarterly Above and Beyond Bonus Program
- Annual Above and Beyond Bonus Program
- Competitive compensation
- Base compensation
- Salary Management
- Spot Bonuses
- Annual Incentive/Profit sharing program, potential payout annually based on company results
- Discount partnerships
- Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more
- Insurance, educational reimbursement, and bonus programs
- Employee Referral Bonus Program
- Home and Auto Insurance Discount Program
- Paid Volunteer Time
- Retirement savings benefit (401k and Roth + match)
- Health & Financial Wellness
- Wellness platform, tools, and events - Vitality
- Health Savings Account – match
- Financial Wellness Resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
251-500 employees
