SIU Investigator

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

📋 Description

• Perform prompt investigations, including recorded statements and interviews with claimants, witnesses, and employers.

• Deliver timely status updates to the case manager and client.

• Clearly and promptly document claim files.

• Uphold confidentiality and professionalism at all times.

• Create comprehensive investigative action plans.

• Ensure accuracy, quality, and timeliness of evidence, adhering to applicable laws, legal codes, and governing agencies.

• Provide investigation results and document findings to claim adjusters.

• Assess if additional evidence is needed, such as accident reports, scene reconstructions, witness statements, police reports, and expert opinions.

• Offer recommendations and decisions regarding investigative efforts.

• Conduct detailed database queries and analyze and organize critical SIU investigation data.

• Review state compliance referrals when questionable or suspicious activities are detected.

• Maintain active membership in professional organizations that provide SIU assistance and resources.

• Build and sustain relationships with law enforcement, government regulatory agencies, and insurance industry personnel.

⛳️ Requirements

• Extensive experience with claims across all lines of insurance, emphasizing Workers’ Compensation claims.

• Strong investigative abilities.

• Attention to detail.

• Capability to identify patterns of inconsistencies associated with fraudulent activities.

• Proficient in interacting with clients, repair shops, appraisers, and employers.

• Ability to work independently.

• Exceptional verbal and written communication skills.

• Good organizational and time management capabilities.

• Familiarity with tools and techniques used in insurance claims investigations.

• Proficient in Word, Excel, Outlook, and Teams.

• Access to a laptop computer.

• Possession of a cell phone.

• Audio recording device with download functionality.

• Digital camera.

• Tape measure.

• CFE or FCLS designations are preferred.

• 5–10 years of experience in claims and SIU investigations is preferred.

🏝️ Benefits

• Per Diem.

• A workplace focused on professional development and retention.

• A team environment that emphasizes diversity.