Fraud SIU Investigator (Insurance Claims) — Travel Paid

Allied Universal; Framingham (MA); On-site; USD 39,000 - 47,000; Full time

Benefits offered by this job

Medical, dental, vision, life, AD&D, R

Retirement plan

Seven paid holidays

Vacation accrual

Job summary

Allied Universal® Compliance and Investigation Services is seeking an SIU Investigator to scrutinize claims with red flags for potential fraud. You will assess policies, apply anti-fraud laws, and determine reporting to state agencies when warranted.

A valid driver’s license and state licensure are required, with five years of complex insurance investigations experience preferred. Join a team that partners with clients and law enforcement to deliver thorough investigations, detailed reports, and

Qualifications

• Bachelor’s degree or higher in Criminal Justice or related field.
• Private Investigator license as required by the state.
• Five years of complex insurance investigations experience.
• Proficient in anti-fraud laws and insurance regulations.

Responsibilities

• Independently investigate suspected fraudulent insurance claims for a variety of coverage including workers’ comp, general liability, property and casualty, and disability.
• Gather information through interviews, data collection, and collaboration with clients, case managers, law enforcement, and state departments of insurance.
• Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, and other assignments.
• Produce professional and expert reports, memos, and letters that are clear and grammatically correct.
• Run appropriate database indices and verify the accuracy of results.
• Independently develop a strategic plan to achieve assignment objectives with clear documentation and client communication.

Skills

Attention to detail

Investigations experience

Typing 40+ WPM

Report writing

Anti-fraud laws knowledge

Driver’s license

Flexible hours

Education

Bachelor’s degree in Criminal Justice

High School diploma or higher with 5 years fraud investigations

Job description

Allied Universal® Compliance and Investigation Services is seeking an SIU Investigator to scrutinize claims with red flags for potential fraud. You will assess policies, apply anti-fraud laws, and determine reporting to state agencies when warranted.

A valid driver’s license and state licensure are required, with five years of complex insurance investigations experience preferred. Join a team that partners with clients and law enforcement to deliver thorough investigations, detailed reports, and