Senior Claims Fraud Investigator (SIU)

MS ACSC Management Services Inc; Oklahoma; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

401(K) matching and Pension

Tuition assistance

Floating holidays and PTO

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA Auto Club Enterprises is seeking a Claims Service Representative III for the Special Investigations Unit to investigate potential fraud across product lines and serve as liaison with law enforcement and regulatory bodies. The role requires independent judgment, effective problem solving, and strong reporting abilities.

Responsibilities include leading field investigations, reviewing suspicious activity, and training staff on fraud trends.

Qualifications

• Bachelor's degree or equivalent and 4–6 years of claims experience are required.
• Advanced oral and written communication skills are required.
• Strong interpersonal and negotiation abilities are needed.

Responsibilities

• Develop and implement investigative strategies for assigned claims.
• Conduct thorough field investigations and ensure proper coverage.
• Prepare clear investigative reports with findings and recommendations.

Skills

Claims experience

Communication skills

Interpersonal skills

Public speaking

Education

Bachelor's degree or equivalent

Tools

Technical software

Job description

AAA Auto Club Enterprises is seeking a Claims Service Representative III for the Special Investigations Unit to investigate potential fraud across product lines and serve as liaison with law enforcement and regulatory bodies. The role requires independent judgment, effective problem solving, and strong reporting abilities.

Responsibilities include leading field investigations, reviewing suspicious activity, and training staff on fraud trends.