SIU Field Investigator

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Investigate suspected fraudulent activities.

• Perform in-depth case assessments and intricate BI fraud investigations, which encompass staged accidents, claim misrepresentation, and organized fraud schemes.

• Provide support for a region that includes Jackson, Mississippi; New Orleans, Louisiana; and Mobile, Alabama.

• Supervise file quality in the capacity of an Investigative Consultant.

• Make decisions on claims related to highly complex investigations and pursue restitution.

• Manage relationships with vendors and oversee their performance.

• Execute complex online data searches, research, and evaluations.

• Investigate complicated, multi-discipline, and Excess Coverage Liability (ECL) claims that may involve fraud to ascertain if payment is justified.

• Review investigations with fraud outcomes to confirm the appropriateness of denials.

• Conduct intricate site inspections at body shops, medical clinics, and loss locations.

• Handle, research, and resolve complex customer communications, concerns, conflicts, or issues.

• Utilize analytical tools or SIU field intelligence to identify claims for investigation and support evidence of fraud and damages.

• Summarize documentation and enter notes into the claims system to document claim files, evaluations, and decision-making processes.

• No supervisory responsibilities involved.

⛳️ Requirements

• Proven SIU Investigator with significant experience in Special Investigations Units (SIU) within the insurance sector.

• Strong background in claims management.

• Proficient in Auto Bodily Injury (BI) investigations.

• Experience in handling Homeowners claims investigations, particularly those related to weather-induced roof, wind, and flood damage.

• Exceptional analytical and investigative abilities.

• Sound judgment skills.

• Capability to manage high-impact cases from inception to completion.

• Strong critical thinking skills.

• Effective decision-making abilities.

• Skilled in documentation practices.

• Proficient in evidence gathering.

• Experienced in fraud investigations.

• Knowledgeable in insurance fraud investigations.

• Familiar with special investigations.

• Experienced in interviewing witnesses.

• Must have authorization to work in the United States.

• Employer does not provide sponsorship for work visas.

• Individuals with an active insurance license must terminate all existing appointments before onboarding and are not permitted to hold external appointments during employment.

• Applicants possessing a resident producer license must formally surrender that license when directed by the licensing team.

• Must have a dedicated, private workspace free from distractions while working from home.

• Reliable internet connection with a minimum speed of 50 MB download and 5 MB upload is required.

🏝️ Benefits

• Fully remote position, location-specific.

• Comprehensive technology setup including laptop, monitors, headset, keyboard, and mouse.

• Monthly connectivity reimbursement for eligible work-from-home employees.