SIU Operations Specialist
About The Position
The SIU Operations Specialist supports Special Investigations Unit (SIU) operations by managing daily investigative workflows, reviewing and triaging claim alerts, and ensuring timely identification and assignment of items requiring SIU involvement. The role also supports Claims leadership by coordinating administrative activities, managing system access, assisting with calls, and organizing team events. The position performs investigations as directed, including searches using ISO, NICB, TLO, internet, and similar resources. It requires the ability to research and analyze non-routine claims data, make decisions, maintain effective working relationships, manage time and schedules independently, and meet deadlines. The stated starting base pay range is $23.82–$29.54 per hour.
Requirements
- Typically requires at least two years of professional experience demonstrating competence and organization in managing projects, programs, and interactions with others.
- Proficiency with Microsoft Word, Excel, Outlook, and Teams.
- Ability to research, analyze, and make decisions to process non-routine claims data.
- Superior interpersonal skills to develop and maintain effective working relationships with Claims, other departments, and external customers.
- Analytical, decision-making, negotiation, and customer service skills.
- Ability to work independently, manage time effectively, maintain schedules, and meet deadlines.
- Ability to perform the essential functions of the job, with or without a reasonable accommodation.
Nice To Haves
- Claims department experience with detailed knowledge of department policies, procedures, and operations is typically preferred.
Responsibilities
- Manage daily investigative workflows for SIU operations.
- Review and triage claim alerts and ensure timely identification and assignment of items requiring SIU involvement.
- Coordinate administrative activities for Claims leadership.
- Manage system access.
- Assist with calls and organize team events.
- Perform investigations as directed, including ISO, NICB, TLO, internet, and similar searches.
- Research and analyze non-routine claims data and make processing decisions.
Benefits
- Health, dental, voluntary vision, and prescription drug insurance
- Savings and profit sharing
- 401(k)
- Paid time off for sick and personal leave, vacation, and holidays
- Vitality Wellness Program
- “Dress for Your Day” dress code
- Flexible scheduling
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
