Surveillance / Claims / SIU Investigator

Allied Universal • Knoxville, TN

4d

About The Position

Allied Universal® Compliance and Investigation Services is hiring an Investigator to investigate insurance claims with indicators of possible fraud. The role uses knowledge of insurance policies and fraud to assess whether claims should be reported to the appropriate state agency for prosecution. Work includes surveillance, claims investigations, and Special Investigative Unit (SIU) work. A Private Investigator’s license is required before applying, along with a valid driver’s license and at least one year of driving experience.

The Investigator independently examines suspected fraudulent claims across workers’ compensation, general liability, property and casualty, and disability coverage. The role gathers information through data collection, interviews, research, and collaboration with clients, case managers, other SIU entities, law enforcement, and state Departments of Insurance. The Investigator documents assignments, produces professional reports and communications, verifies database results, and develops investigative plans to meet assignment objectives while communicating with clients and their SIU Supervisor.

Requirements

• Private Investigator’s license required prior to applying; must be able to obtain and maintain the license required by the state where work is completed.
• Valid driver’s license and at least one year of driving experience.
• Must possess one or more of the following: a Bachelor’s degree in Criminal Justice; or a high school diploma or higher with at least five years of demonstrated professional law enforcement experience, specifically including fraud investigations.
• At least five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
• Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards in the candidate’s home state and designated regional area.
• Knowledge of Special Investigative Unit (SIU) compliance.
• Proficiency using laptop computers and cell phones.
• Ability to type at least 40 words per minute with minimal errors.
• Flexibility to work varied and irregular hours and days, including weekends and holidays.
• Must successfully complete the Allied Universal Investigations training/orientation course after an offer.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Familiarity with California SIU regulations.
• One or more professional 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 involving workers’ compensation, general liability, property and casualty, and disability coverage.
• Gather information using discretion and guidance from clients and case managers through data collection, interviews, research, and collaboration with 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 assignments as directed.
• Produce professional reports, memos, and letters that are clear, concise, and grammatically correct.
• Run appropriate database indices when necessary and verify the accuracy of the results.
• Develop strategic plans independently to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their 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 accrued at an initial rate of 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED