SIU Investigator

Allied Universal • Los Angeles, CA

18d

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 assess whether claims should be reported to the appropriate state agency for prosecution. Investigations may involve workers’ compensation, general liability, property and casualty, and disability coverage. Multiple positions are available. The pay rate is $30–$38 per hour.

Requirements

• Must possess 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.
• Ability to obtain and maintain a Private Investigator license as required by the state where work is completed.
• After an offer, 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 employee’s home state and designated regional area.
• Proficiency 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.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• One or more professional 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 a variety of coverage types, including workers’ compensation, general liability, property and casualty, and disability.
• 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 assignments as directed.
• Produce 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 meet assignment objectives, ensuring 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 accruing initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level