SIU Investigator

Plymouth Rock Assurance•Boston, MA

1d•$63,000 - $91,500•Hybrid

About The Position

The SIU Investigator detects and investigates potentially fraudulent insurance activity, including complex medical and staged accident claims, auto property matters, and application fraud. The role includes conducting in-person interviews and recorded statements; preparing and presenting impartial investigative findings to management; and performing field work in coordination with industry fraud units, claim personnel, counsel, law enforcement, and agencies. The investigator may provide evidence and testimony in matters pursued for prosecution, conduct fraud awareness training, and perform investigative research. This is a field position with a work-from-home arrangement and daily travel throughout Massachusetts in a company car. The primary coverage territory is north of Boston (North Shore), and candidates residing in that territory are preferred. The company provides a computer, phone, and vehicle.

Requirements

Comprehensive knowledge of Massachusetts personal and commercial automobile policies and laws governing insurance.
Excellent written and verbal communication skills.
Competency in time management, priority setting, action orientation, customer focus, and composure.
Ability to effectively use a task manager or claim system to manage messages, diary, and system-generated reminders.
Bachelor of Science or Bachelor of Arts degree; Criminal Justice is preferred.
At least five years of experience within the insurance industry.
Working knowledge of personal lines and commercial lines auto policies.
Ability to work from home and travel daily throughout Massachusetts by company car.

Nice To Haves

Prior SIU field investigation experience and/or a related insurance, investigation, or law enforcement background.
Residence in the North Shore territory north of Boston.
A degree in Criminal Justice.

Responsibilities

Conduct in-person interviews and obtain recorded statements.
Prepare clear, concise, detailed reports and present impartial investigative results to management.
Provide recommendations on the disposition of claims.
Prepare cases for potential defense and/or prosecution.
Examine and analyze evidence and recommend whether claims should be accepted or denied.
Protect company assets and policyholders from fraudulent activity.
Identify, investigate, and refer fraudulent claims to the Insurance Fraud Bureau, NICB, or law enforcement.
Perform field work and coordinate with industry fraud units, claim personnel, counsel, law enforcement, and agencies.
May provide evidence and testimony in cases pursued by law enforcement agencies.
May conduct fraud awareness training and investigative research.

Benefits

Four weeks of accrued paid time off, nine paid national holidays per year, and two floating holidays.
Free onsite gym at the Boston location.
Tuition reimbursement.
Medical, dental, and vision insurance options starting on Day 1.
Health and wellness program and fitness reimbursements.
Auto and home insurance discounts.
Matching gift opportunities.
Annual 401(k) employer contribution of up to 7.5% of base salary.
Paid family leave options, including paid parental leave.
Professional development resources, including LinkedIn Learning and licensure assistance.
Pre-tax commuter benefits.