SIU Investigator – Auto & Property Claims

This is a fully remote position, open to applicants in Arizona, +6 more states.

📋 Description

• Examine potentially fraudulent claims related to auto and homeowners insurance.

• Assess intricate auto and homeowners claims for signs of potential fraud.

• Create and implement investigation strategies for both first- and third-party claims involving property damage, bodily injury, uninsured motorist claims, and related risks.

• Conduct or manage investigations through vendors, independent investigators, and various other resources.

• Gather and analyze interviews, statements, records, inspections, photographs, expert reports, and other forms of evidence.

• Ensure that investigations adhere to relevant laws, regulations, and fair claims handling practices.

• Evaluate evidence and make recommendations regarding claim dispositions.

• Collaborate with claims professionals, customer service teams, insured parties, claimants, attorneys, vendors, law enforcement agencies, State Fraud Bureaus, and the NICB.

• Process policy and customer transactions using various systems and databases.

• Review SIU referrals and formulate strategic investigation plans.

• Maintain claim documentation, investigative reports, and file notes.

• Monitor investigations until resolution and identify claim exposures and risks.

• Prepare reports, correspondence, and management summaries.

• Generate recurring reports and update SIU databases with results from investigations.

• Assist in fraud awareness training programs.

• Conduct file reviews and mentor or guide claims professionals.

• Stay informed about fraud trends, regulations, and industry best practices through ongoing education.

⛳️ Requirements

• High school diploma or equivalent qualification.

• A minimum of 5 years of claims experience with a solid technical understanding of first- and third-party property and bodily injury claims.

• At least 3 years of experience in a Special Investigations Unit (SIU) or in insurance fraud investigations.

• Proven ability to carry out comprehensive, timely, and effective fraud investigations.

• Extensive knowledge of insurance contracts, claims practices, state regulations, and compliance requirements.

• Preferred: coursework in fraud law or a related discipline.

• Preferred: experience with California SIU regulations.

• Preferred: professional industry designations such as FCLA, SCLA, AIC, or equivalent certifications.

• Preferred hiring/work locations include Arizona, Colorado, Florida, Idaho, Kansas, Missouri, or Texas.

🏝️ Benefits

• Medical benefits.

• Financial benefits.

• Paid time off, including vacation, holidays, sick leave, and personal holidays.

• Eligibility for the company’s performance sharing plan.

• Supportive, people-first workplace.

• Career growth opportunities.