Fraud SIU Investigator - Workers’ Comp Focus

deltagroup; Phoenix (AZ); On-site; USD 60,000 - 80,000; Full time

Job summary

deltagroup is seeking a skilled investigator for their Special Investigation Unit in Phoenix, Arizona. The role involves investigating suspicious claims and requires strong investigative abilities, exceptional communication skills, and the capacity to work independently.

Key qualifications include CFE or FCLS designations, along with 5-10 years of experience in claims and SIU investigations. You will be responsible for conducting interviews, providing status updates, and ensuring compliance with legal requirements while maintaining confidentiality.

The position offers an engaging work environment where your expertise will help prevent fraud in various insurance claims.

Qualifications

• Extensive experience with claims for all lines of insurance, especially Workers’ Compensation claims.
• Demonstrate knowledge of tools and techniques for conducting insurance claims investigations.

Responsibilities

• Conduct timely investigations and interviews of claimants, witnesses, and employers.
• Provide timely status updates to case manager and client.
• Maintain confidentiality and professionalism throughout investigations.

Skills

Strong investigative skills

Detail oriented

Excellent verbal and written communication skills

Good organization and time management skills

Ability to recognize patterns of inconsistencies

Ability to work independently

Education

CFE or FCLS designations preferred

5-10 years of experience in claims and SIU investigations

Tools

Word

Excel

Outlook

Teams

Job description

deltagroup is seeking a skilled investigator for their Special Investigation Unit in Phoenix, Arizona. The role involves investigating suspicious claims and requires strong investigative abilities, exceptional communication skills, and the capacity to work independently.

Key qualifications include CFE or FCLS designations, along with 5-10 years of experience in claims and SIU investigations. You will be responsible for conducting interviews, providing status updates, and ensuring compliance with legal requirements while maintaining confidentiality.

The position offers an engaging work environment where your expertise will help prevent fraud in various insurance claims.