SIU Investigator

Allied Universal • Newark, NJ

9d • $27 - $32

About The Position

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator to investigate insurance claims with red flags suggesting fraudulent behavior. The investigator uses knowledge of insurance policies and fraud to determine whether claims warrant reporting to the appropriate state agency for prosecution. The role covers workers’ compensation, general liability, property and casualty, and disability claims. Applicants must reside in the state listed in the job posting and possess a valid driver’s license with at least one year of driving experience.

Requirements

• Possess 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 investigations.
• Be able to obtain the private investigator license required by the state where the work is completed.
• Successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• Have a minimum of five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
• Have a 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.
• Be able to 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.
• Reside in the state listed in the job posting.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• One or more of the following 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 workers’ compensation, general liability, property and casualty, and disability coverage.
• Acquire and gather information through data collection, interviews, research, and collaboration with clients, case managers, 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.
• 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 strategic plans to achieve assignment objectives, ensuring thorough documentation and effective communication 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 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