SIU Investigator

Allied Universal•Knoxville, TN

About The Position

Allied Universal® Compliance and Investigation Services is hiring an Investigator to investigate insurance claims with red flags suggesting fraudulent behavior. The role requires using knowledge of insurance policies and fraud indicators to determine whether claims warrant reporting to the appropriate state agency for prosecution. Work includes surveillance, claims investigations, and Special Investigative Unit (SIU) assignments. The Investigator conducts investigations independently and gathers information through data collection, interviews, research, and collaboration with clients, case managers, SIU entities, law enforcement, and state Departments of Insurance. The role includes maintaining detailed investigation documentation and producing clear, professional reports and other written materials. A Private Investigator’s license is required prior to applying, along with a valid driver’s license and at least one year of driving experience.

Requirements

Must possess a Private Investigator’s license before applying and be able to obtain any additional license required by the state where work is completed.
Must possess a valid driver’s license and at least one year of driving experience.
Must have 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, with specific attention to fraud-related 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 within the investigator’s home state and designated regional area.
Knowledge of Special Investigative Unit (SIU) compliance.
Proficient in 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.
Certified Fraud Investigator (CFE) certification.
Certified Insurance Fraud Investigator (CIFI) certification.
Fraud Claim Law Associate (FCLA) certification.
Fraud Claim Law Specialist (FCLS) certification.
Certified Protection Professional (CPP) certification.
Associate in Claims (AIC) certification.
Chartered Property Casualty Underwriter (CPCU) certification.

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.
Develop strategic plans independently to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.

Benefits

Medical insurance.
Dental insurance.
Vision insurance.
Basic life insurance.
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.