SIU Support Specialist

Berkley•Urbandale, IA

About The Position

The SIU Support Specialist will be responsible for conducting background investigations through the research, analysis, and interpretation of public record databases, online data sources, and social media to support SIU and Claim departments. In addition to these responsibilities, the Specialist serves as the central triage point for incoming SIU referrals, reviewing each referral for completeness, assessing initial fraud indicators, assigning priority based on established criteria, and routing matters appropriately to investigative staff. The role also encompasses proactive fraud detection through monitoring of internal claim activity, system alerts, data anomalies, and emerging patterns that may indicate fraud risk.

Requirements

Minimum of one to three years of insurance experience
Knowledge of insurance claims handling processes
Advanced problem solving and research skills
Ability to extract data and cross reference resources
Strong knowledge of third-party public record databases, social media, and search engines
Knowledge of privacy regulations and compliance requirements
Dedicated to meeting the expectations of internal and external customers
Proficiency with MS Office products
Ability to be flexible and multi-task
Strong organizational and prioritization skills
Ability to properly handle sensitive and confidential information
Ability to work both independently and in a team environment
Demonstrate a strong work ethic with a positive attitude
Excellent verbal and written communication skills

Nice To Haves

Associates Degree /Bachelor’s degree preferred
Prior experience conducting investigative work is preferred but not required

Responsibilities

Conducts comprehensive background investigations using public‑record databases, online resources, and social media.
Validates the accuracy and relevance of data gathered from multiple sources.
Prepares detailed, timely, and accurate reports documenting investigative findings.
Captures all investigative requests and triage actions within the SIU tracking system.
Ensures adherence to all privacy, confidentiality, and compliance requirements.
Supports investigators by gathering and analyzing claim, provider, and claimant information.
Monitors internal and external data sources to proactively identify potential fraud and emerging patterns.
Escalates suspicious activity to SIU leadership for review and follow‑up.
Coordinates with SIU and Claims staff to support effective and efficient case resolution.
Manages sensitive and confidential information with discretion and sound judgment.
Balances independent analytical work with active participation in collaborative investigative efforts.