Hybrid SIU Investigator: Fraud & Claims Expert

Capital Insurance Group; Bakersfield (CA); Hybrid; USD 70,000 - 117,000; Full time

Job summary

Capital Insurance Group is seeking an SIU Investigator to join the Claims team. You will investigate suspicious claims, identify potential fraud, and develop well-documented cases to support outcomes and potential prosecution.

You will also train and assist claims staff in investigation strategies, including statement taking, document review, and medical records analysis, while coordinating with the SIU Manager on annual training and compliance activities.

Qualifications

• 5–7 years of insurance or investigative experience.
• Experience handling litigated claim files and mediation/arbitration/trial participation preferred.
• Valid Driver License required.
• Authorized to work in the United States without sponsorship.

Responsibilities

• Investigate suspicious claims and identify potential fraud.
• Develop well-documented cases to support claim outcomes.
• Provide training and support to claims staff on investigation strategies.
• Conduct statement taking, document analysis, and medical record review.
• Collaborate with the SIU Manager on annual training and compliance activities.

Skills

Investigation

Fraud detection

Interviewing

Documentation

Legal concepts

Education

AIC Certification

CPCU

NCFIA

SCFIA

IASIU

Job description

Capital Insurance Group is seeking an SIU Investigator to join the Claims team. You will investigate suspicious claims, identify potential fraud, and develop well-documented cases to support outcomes and potential prosecution.

You will also train and assist claims staff in investigation strategies, including statement taking, document review, and medical records analysis, while coordinating with the SIU Manager on annual training and compliance activities.