SIU Field Investigator

About This Role

Conduct investigations into suspected insurance fraud and illegal activities, covering a range of insurance matters like financial, casualty, and bodily injury. This role involves interviewing, gathering evidence, and coordinating with outside agencies to protect the company's interests.

Responsibilities

• Conduct investigations of suspected cases of fraud or other illegal activities against the Company
• Perform interviewing, database inquiries, taking statements, and locating sources of information and witnesses
• Evaluate information to determine its credibility
• Refer and coordinate investigation assignments to outside agencies
• Provide training and support to all departments in the claims handling process
• Organize and prioritize investigative volume workloads and stressful situations
• Document files in a clear, concise, professional written manner

Requirements

• Associate or bachelor’s degree in criminal justice or a related field, OR Five years of insurance claims investigative experience, professional investigation experience with law enforcement agencies, OR Seven years of professional investigation experience involving economic or insurance related matters
• Experience handling in-person or phone statements from various parties in an investigation
• Ability to gather a broad range of evidence and draw conclusions
• Demonstrated ability to organize and prioritize investigative volume workloads and stressful situations
• Must be able to always maintain a professional attitude and appearance
• Must be able to document files in a clear, concise, professional written manner
• Must be able to obtain and maintain a valid driver’s license, certifications and permits
• Must be able to lift and carry materials and equipment and lift them to and from vehicles and carry them up and down steps
• Must be able to climb on, off, in, around and under vehicles, including but not limited to RVs and commercial vehicles
• Must be able to exercise caution and awareness of surroundings
• Must be able to learn and apply large amount of technical and procedural information
• Knowledge of city, state, and local regulations, legal concepts, case law, medical treatments, and medical terminology

Qualifications

• Associate or bachelor’s degree in criminal justice or a related field
• 5+ years of insurance claims investigative experience, professional investigation experience with law enforcement agencies, or 7+ years of professional investigation experience involving economic or insurance related matters

Nice to Have

• 4-year Degree or higher
• Current or prior SIU investigations experience working in diverse teams across different SIU job functions
• Experience handling: financial, casualty, bodily injury, worker’s compensation, commercial, marine, auto, property and underwriting fraud investigations
• Ability to handle complex fraud cases and/or rings
• Knowledge on how to use public record systems, and/or claims and policy databases to support an investigation
• Ability to work with minimal direct supervision and manage an active case load
• Related professional designations (e.g. CIFI, CFE, FCLA, CPCU, etc.)

Skills

* Required skills

Benefits