SIU Field Investigator

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

📋 Description

• Conduct investigations and analyses of intricate, multi-disciplinary coverage and claims referred to the Special Investigation Unit to identify potential fraud.

• Perform background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media inquiries.

• Examine and evaluate medical records, bills, and property damage documentation.

• Carry out surveillance and develop scene reconstructions as necessary.

• Ascertain whether fraud can be substantiated and assist in supporting lawsuits.

• Input SIU claim data into various systems.

• Review investigations with fraud outcomes and assess the appropriateness of denial decisions.

• Update files with the outcomes of investigations and return files for additional processing when fraud is not confirmed or evidence is lacking.

• Conduct online data application searches, research, evaluations, and intricate site inspections.

• Validate investigative findings, follow up on leads, summarize documents, and document decisions made in claim files.

• Utilize analytical tools or SIU field intelligence to pinpoint complex claims and substantiate evidence of fraud and damages.

• Research and address complex customer communications, concerns, conflicts, or issues.

• Offer work guidance, mentoring, and coaching to junior employees and the team.

⛳️ Requirements

• Proven experience as an SIU Field Investigator.

• Must reside in or near Bronx, Manhattan, Westchester, or surrounding areas.

• Ability to conduct complex investigations, online research, site inspections, surveillance, interviews, and scene investigations.

• Skills in documentation, law enforcement, and special investigations are essential.

• Candidates must have authorization to work in the United States.

• Applicants holding an active insurance license must terminate all current appointments before onboarding and cannot hold outside appointments during employment.

• Applicants desiring an adjuster role who possess a resident producer license must surrender that license when directed by the licensing team.

• Must have a dedicated, distraction-free workspace while working from home.

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

🏝️ Benefits

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

• Monthly connectivity reimbursement to help offset internet expenses for employees eligible to work from home.

• Remote work arrangement available.

• Incentive pay (commission, bonus, etc.) if applicable.