SIU / Claims Investigator

Allied Universal; Hampton (VA); Sur place; USD 34 000 - 44 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision, life, AD&D, —

Retirement plan

Paid holidays

Résumé du poste

Allied Universal is seeking an SIU/Claims Investigator in Hampton, VA. You will independently investigate suspected fraudulent insurance claims across workers’ compensation, general liability, property and casualty, and disability, using discretion and collaboration with clients and case managers.

Strong report writing and documentation are essential. Requirements include a Private Investigator license, a valid driver's license, and 5+ years in fraud investigations or equivalent education.

Qualifications

• Must possess one or more of the following: Bachelor’s degree in Criminal Justice or 5+ years of law enforcement experience with investigations related to fraud
• Ability to be properly licensed as a Private Investigator as required by the state of work
• Post offer, must complete Allied Universal Investigations training/orientation
• Minimum of five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
• Proficient understanding of anti-fraud laws, insurance regulations, and compliance standards within home state/region
• Proficient in using laptops and cell phones
• SIU Compliance knowledge
• Ability to type 40+ wpm with minimum errors
• Flexible to work varied hours including weekends and holidays

Responsabilités

• Independently investigate suspected fraudulent insurance claims for various coverages
• Gather information via interviews, data collection, and coordination with clients, case managers, law enforcement, and state departments
• Create and maintain detailed documentation for investigations, reviews, audits, and training tasks
• Produce reports, memos, and letters that are clear and professional
• Run database indices and verify results accuracy
• Develop strategic plans to achieve assignment objectives with proper documentation and client communication

Connaissances

Investigations

Fraud awareness

Private Investigator license

Formation

Bachelor’s degree in Criminal Justice

High School diploma or higher with 5+ years of law enforcement experience

Description du poste

Overview

Company Overview:

Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Job Description

Allied Universal® is hiring a SIU / Claims Investigator. SIU / Claims Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU / Claims Investigator must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

• Pay Rate: $25 - $32 / hr
• Private Investigator’s license required prior to applying
• Must possess a valid driver's license with at least one year of driving experience

RESPONSIBILITIES:

• Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
• Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
• Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
• Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
• Run appropriate database indices if necessary and verify the accuracy of results found
• Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

QUALIFICATIONS (MUST HAVE):

• Must possess one or more of the following:
• Bachelor’s degree in Criminal Justice
• High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
• Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
• Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
• Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
• Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
• Proficient in utilizing laptop computers and cell phones.
• Special Investigative Unit (SIU) Compliance knowledge
• Ability to type 40+ words per minute with minimum error
• Flexibility to work varied and irregular hours and days including weekends and holidays

PREFERRED QUALIFICATIONS (NICE TO HAVE):

• Military experience
• Law enforcement
• Insurance administration experience
• Familiarity with California SIU regulations
• One or more of the following professional industry certifications:
• Certified Fraud Investigator (CFE)
• Certified Insurance Fraud Investigator (CIFI)
• Fraud Claim Law Associate (FCLA)
• Fraud Claim Law Specialist (FCLS)
• Certified Protection Professional (CPP)
• Associate in Claims (AIC)
• Chartered Property Casualty Underwriter (CPCU)

BENEFITS:

• Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
• Seven paid holidays annually, sick days available where required by law
• Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law

Closing

Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com