Fraud SIU Investigator – Workers’ Comp Focus

Delta Group; Los Angeles (CA); On-site; USD 65,000 - 95,000; Full time

Job summary

Delta Group is a private national investigative firm seeking a seasoned SIU investigator in the United States to conduct and document comprehensive insurance claim investigations, including workers' compensation and liability cases. You will interview claimants, witnesses, and employers, and collaborate with clients to deliver timely, accurate findings.

The ideal candidate has 5–10 years in claims/SIU investigations, relevant certifications, and strong communication skills.

Qualifications

• Strong investigative background in insurance claims and SIU investigations.
• Experience handling workers' compensation, liability, and auto claims is a plus.

Responsibilities

• Conduct timely investigations including interviews of claimants, witnesses, and employers.
• Provide timely status updates to case managers and clients.
• Document claim files with high accuracy and confidentiality.
• Maintain professionalism and comply with laws and regulations.
• Develop investigative action plans and determine evidence needs.
• Ensure quality and timeliness of evidence gathered during investigations.
• Provide investigation results to the Adjuster with clear findings.
• Evaluate referrals and identify suspicious activity for escalation.

Skills

Investigative skills

Detail oriented

Pattern recognition

Communication skills

Independent work

Bilingual preferred

Education

CFE designation

FCLS designation

Tools

Microsoft Word

Microsoft Excel

Outlook

Microsoft Teams

Job description

Delta Group is a private national investigative firm seeking a seasoned SIU investigator in the United States to conduct and document comprehensive insurance claim investigations, including workers' compensation and liability cases. You will interview claimants, witnesses, and employers, and collaborate with clients to deliver timely, accurate findings.

The ideal candidate has 5–10 years in claims/SIU investigations, relevant certifications, and strong communication skills.