Senior SIU Investigator

This is a fully remote position, open to applicants in New York.

📋 Description

• Conducts thorough reviews and investigations of referrals to the Special Investigations Unit (SIU) to detect indicators of potential fraud by claimants, insured individuals, agents, brokers, providers, and attorneys.

• Assesses SIU referrals to determine if suspicious elements exist that could justify an investigation by the SIU.

• Develops clear and concise investigative action plans.

• Assigns investigative tasks to vendors when necessary and oversees these assignments while managing associated costs.

• Performs data analysis and employs analytical tools to uncover suspicious claims.

• Compiles and submits detailed investigative reports that document all phases of an investigation to aid in claim resolution.

• Gathers and forwards referrals to the National Insurance Crime Bureau (NICB), Departments of Insurance, and other law enforcement entities when appropriate.

⛳️ Requirements

• A bachelor’s degree is preferred.

• A minimum of 3 years of experience related to SIU in an insurance company and/or law enforcement investigation experience, or an equivalent combination of education and experience, is required.

• Technical Knowledge: Intermediate to Advanced proficiency in Microsoft Office and various software applications; fluency in multiple investigative computer programs such as TLO, ISO, Accurint, etc.

• Proficiency in Spanish or other languages is preferred.

🏝️ Benefits

• Medical, dental, vision, and life insurance options.

• Short-term and long-term disability coverage.

• A company-matched 401(k) plan with a contribution match of 100% up to 6%.

• Employee Assistance Program.

• Health Savings Account.

• Flexible Spending Account.

• Health Reimbursement Account.

• Wellness program.