Siu Investigator Jobs

About The Position

Requirements

• Strong investigative skills.
• Detail-oriented approach.
• Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity.
• Ability to interact with clients, repair shops, appraisers, and employers.
• Ability to work independently.
• Excellent verbal and written communication skills.
• Good organization and time management skills.
• Knowledge of tools and techniques used to conduct insurance claims investigations.
• Proficiency with computer software, including Word, Excel, Outlook, and Teams.

Nice To Haves

• CFE or FCLS designation.
• 5–10 years of experience in claims and SIU investigations.

Responsibilities

• Conduct timely investigations, including recorded statements and interviews with claimants, witnesses, and employers.
• Provide timely status updates to the case manager and client.
• Document claim files clearly and promptly.
• Maintain confidentiality and professionalism.
• Develop appropriate investigative action plans.
• Ensure the accuracy, quality, and timely gathering of evidence, while complying with applicable laws, legal codes, and governing agencies.
• Provide the Claim Adjuster with timely investigation results and document investigative findings.
• Determine whether additional evidence is needed, including accident reports, accident scene reconstructions, witness statements, police reports, or expert opinions.
• Provide recommendations and decisions regarding investigative efforts.
• Perform detailed database queries for SIU investigations, including analysis and organization of critical data.
• Evaluate State compliance referrals, as applicable, when questionable or suspicious activity is identified.
• Maintain active membership in professional organizations that provide SIU assistance and resources.
• Establish and maintain relationships with law enforcement, government regulatory agencies, and insurance industry personnel, assisting them when needed or required.