Expert SIU Investigator

Kemper Corporation; California; Remote; USD 80,000 - 100,000; Full time

Job summary

Join a leading specialized insurer as a Special Investigator III, where you'll tackle complex claims and help combat fraud. This remote role offers the chance to make a real impact by investigating suspicious claims, collaborating with law enforcement, and mentoring new hires. With a focus on personal development and a healthy work-life balance, you'll thrive in a supportive environment. Enjoy competitive pay and a comprehensive benefits package while you contribute to a culture that values diversity and excellence. If you are committed to making a difference and possess strong investigative skills, this opportunity is for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401k Plan

Qualifications

• 4+ years as a Special Investigator or 3 years with certifications.
• Proficient in digital investigations and modern technology.

Responsibilities

• Investigate complex claims, analyze evidence, and document actions.
• Coordinate with law enforcement and maintain fraud-related contacts.

Skills

Investigative Techniques

Communication Skills

Analytical Skills

Digital Photo/Document Metadata

Knowledge of Fraud Indicators

Education

FCLS Certification

CIFI Certification

CFE Certification

Tools

Microsoft Outlook

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Job description

Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises.

POSITION SUMMARY:

The SIU Investigator III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations may include multi-feature and attorney represented losses. Basic functions include: Investigation of claims, analysis and development of facts and evidence, and conducting and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. The Special Investigator III will assist with mentoring new hires, special projects, training initiatives, and may be asked to fill in for the SIU Manager and provide work direction to other Special Investigators on a temporary basis. A laptop computer, printer, cell phone, MP3 recorder, and other office equipment will be provided. This position requires travel throughout the Los Angeles area.

POSITION RESPONSIBILITIES:

• Uses appropriate field, computer, and telephone investigative techniques.
• Documents all investigative actions in a thorough, timely, and appropriate manner.
• Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements.
• Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management.
• Responsible for communicating critical situations to the Special Investigation Unit and field managers.
• Develops and maintains contacts with other Special Investigative Units and fraud related organizations.
• Routinely practices independent judgement and discretion.
• Must conform to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled.
• Assists with training and keeps all technical personnel advised of changes to law, fraud indicators, and tools available to combat fraudulent or suspicious claims.
• Performs all other duties as assigned.

POSITION QUALIFICATIONS:

• A minimum of four (4) years as a Special Investigator II or three (3) years as a Special Investigator II with FCLS, CIFI, or CFE certifications.
• Excellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential.
• Must have a working knowledge of digital photo/document metadata and using the internet/social networking for investigative purposes.
• Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred.
• Possess a valid driver’s license and must meet qualifications for a company vehicle under the Company’s Vehicle Policy.
• Demonstrates effective and diplomatic oral and written communication skills.
• Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.
• Sponsorship is not accepted for this position.
• This is a remote role. Candidates can work from a home residence in the Los Angeles, CA area.
• This is a role that will require travel throughout the Los Angeles area.

The range for this position is $29.27 to $51.25 per hour. When determining candidate offers, we consider experience, skills, education, certifications, and geographic location among other factors. This job is also eligible for our Kemper benefits package (Medical, Dental, Vision, PTO, 401k, etc.)