SIU Investigator

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

📋 Description

• Deliver investigative and anti-fraud advisory services across both specialty and standard commercial lines insurance products.

• Perform thorough investigations of suspicious insurance claims and policies in accordance with legal and industry standards.

• Review and extract source data from claim and policy documentation.

• Collaborate with file handlers to develop and implement investigation strategies.

• Case manage claims and policy field investigations which involve interviews, recorded statements, and on-site investigations.

• Oversee vended services such as surveillance, activity checks, and medical canvassing.

• Execute desk-based investigations that range from locating individuals to conducting in-depth background checks.

• Safeguard both physical and digital evidence.

• Maintain timely communication with file handlers regarding ongoing investigative activities and case outcomes.

• Draft professional investigative reports that encompass detailed findings, supporting documents, and recommendations.

• Cultivate and sustain a network of anti-fraud enforcement and regulatory agency personnel, industry peers, and law enforcement officials.

• Engage in regional anti-fraud industry training and task force meetings.

• Ensure thorough knowledge and adherence to all anti-fraud regulatory obligations within designated territories.

• Refer and compile cases that necessitate mandatory reporting to state anti-fraud agencies.

• Participate in anti-fraud training and promotional efforts for company personnel and clients.

• Willingness to travel regionally and the ability to work independently are essential.

⛳️ Requirements

• Bachelor’s degree or equivalent experience is mandatory.

• A minimum of 6 years of experience as an SIU investigator within an insurance carrier and/or government anti-fraud agency is required.

• Previous experience in insurance claims and/or law enforcement is preferred.

• Proficient in social media, with skills in searching and preserving digital evidence.

• Possess advanced analytical abilities and awareness of artificial intelligence.

• Outstanding organizational and report writing skills are essential.

• Proficient in Microsoft Office applications.

• Self-motivated, energetic, and detail-oriented.

• Ability to foster strong relationships across all levels of the organization.

• Credit security clearance is required, verified through a background credit check.

🏝️ Benefits

• Competitive compensation package.

• Generous 401K employer matching.

• Employee Stock Purchase plan with employer matching.

• Ample Paid Time Off.

• Excellent benefits extending beyond health, dental, and vision.

• Well-being programs focusing on physical, mental, and financial health.

• Tuition reimbursement available.

• Opportunities for industry-related certifications.

• Professional training aimed at supporting career advancement.

• A dynamic, ambitious, and enjoyable work environment.

• Commitment to social and community responsibility, including a matching donation program, volunteer opportunities, and an employee-driven corporate giving initiative.