SIU Investigator
New
Based in United StatesFull-TimeMiddle
SalarySIU Analyst III: $53,500 - $77,800 USD; SIU Consultant I: $60,000 - $87,400 USD; SIU Consultant II: $62,100 - $92,700 USD; SIU Senior Consultant I: $68,500 - $104,100 USD
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Job Details
- Required Skills
- Analytical SkillsCritical thinking
Requirements
- Experience in insurance claims, investigations, fraud detection, or a related field.
- Strong preference for auto claims experience.
- Experience managing claims throughout the full claim lifecycle.
- Ability to analyze complex information and identify inconsistencies across multiple sources.
- Strong critical thinking and problem-solving skills.
- Experience conducting interviews, reviewing documentation, and gathering evidence.
- Strong organizational skills with the ability to manage multiple investigations.
- Excellent written and verbal communication skills.
- Attention to detail and ability to maintain accurate investigation records.
- Ability to work independently and partner with internal teams and external vendors.
- Knowledge of insurance claims processes and fraud indicators is preferred.
Responsibilities
- Investigate moderately complex and highly complex insurance claims where potential fraud indicators have been identified.
- Review claim files, analyze documentation, and summarize findings clearly within claim management systems.
- Conduct interviews with claimants, witnesses, and relevant parties to gather accurate information.
- Perform background research, scene investigations, inspections, surveillance activities, and social media reviews.
- Validate information obtained during investigations and pursue additional leads to determine claim accuracy.
- Evaluate investigation results to determine whether fraud can be substantiated.
- Review fraud-related outcomes and confirm whether claim decisions are supported by evidence.
- Collaborate with claims professionals, vendors, and internal teams to resolve complex cases.
- Manage vendor relationships and monitor external partner performance.
- Maintain detailed investigation records and update case systems.
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