SIU Investigator

FARMERS ALLIANCE MUTUAL INSURANCE C•McPherson, KS

1d•Onsite

About The Position

The SIU Investigator detects, investigates, and helps prevent suspected fraud by gathering evidence, analyzing information, and supporting legal and regulatory action.

Requirements

Analytical thinking and attention to detail
Interviewing and communication skills
Knowledge of fraud schemes and regulations
Report writing
Familiarity with investigative tools and databases
Must be coachable and learn from constructive criticism
Must have excellent verbal and written communication skills
Must be able to work both independently and in a team environment
Strong organizational skills
Sound judgement and problem-solving skills
2+ years of investigative experience (insurance or related field), preferably in SIU
Insurance or claims handling (adjuster, examiner, or audit roles) within the insurance industry

Nice To Haves

College Bachelor’s degree preferred

Responsibilities

Investigates suspected fraud
Examine claims that show red flags - like inconsistent statements, unusual billing patterns, or suspicious documentation
Conduct interviews
Interview the Insured, claimants, witnesses, or providers (the goal is to confirm whether the claim or activity is legitimate).
Review records and evidence
Analyze medical records, financial documents, accident reports, or digital data to spot inconsistencies or fraud patterns
Write detailed reports
Document everything clearly - the findings, timelines, evidence
Collaborate with law enforcement and legal teams
If fraud is confirmed, work with police, attorneys, or regulatory bodies
Ensure compliance
Follow laws and regulations, including privacy rules and proper evidence handling procedures