Remote Auto Insurance Fraud SIU Investigator (Miami/FL)

United Automobile Insurance Company; Miami (FL); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

401(k)

Medical, Prescription, Vision & Dental

PTO & Holidays

Flexible spending accounts

Life Insurance

Disability

Job summary

United Automobile Insurance Company is seeking an Insurance Fraud Investigator (SIU) to conduct field and desk investigations of high- complexity auto claims. The role involves coordinating with NICB, law enforcement, and medical professionals to detect fraud while ensuring compliance with PIP regulations.

Ideal candidates will have a related degree and 5+ years of experience, bilingual English/Spanish, and strong analytical and interviewing skills.

Qualifications

• Bilingual English & Spanish required.
• Strong analytical and verbal communication skills.
• Knowledge of CPT codes and medical terminology desirable.
• Understanding of insurance fraud statutes and regulations beneficial.
• Ability to maintain confidentiality and manage multiple investigations.

Responsibilities

• Conduct clinic inspections and examinations under oath.
• Perform in-depth research to identify fraudulent patterns and collect evidence.
• Analyze data from reports to document questionable medical practices.
• Maintain investigation files and prepare comprehensive reports.
• Conduct interviews with providers, claimants, and witnesses.
• Lead special projects as assigned by House Counsel.
• Coordinate with NICB, law enforcement, and external partners.

Skills

Bilingual English/Spanish

Analytical skills

Interpersonal skills

Critical thinking

CPT codes knowledge

Education

Associate or Bachelor\u2019s degree

Job description

United Automobile Insurance Company is seeking an Insurance Fraud Investigator (SIU) to conduct field and desk investigations of high- complexity auto claims. The role involves coordinating with NICB, law enforcement, and medical professionals to detect fraud while ensuring compliance with PIP regulations.

Ideal candidates will have a related degree and 5+ years of experience, bilingual English/Spanish, and strong analytical and interviewing skills.