SIU Desk Investigator

Sentry Insurance; Goldsboro (NC); Presencial; USD 60.000 - 90.000; Tempo integral

Resumo da vaga

Sentry Insurance in Goldsboro, NC or Nashville, TN seeks an SIU Desk Investigator to conduct basic to moderately complex claims investigations across auto, workers’ compensation, and commercial lines. You will gather and analyze information, interview witnesses, hire contractors, and coordinate with law enforcement as required.

Maintain detailed notes in SIU case management systems, prepare summaries for management, and communicate findings to claim staff and fraud agencies while potentially

Qualificações

• Bachelor’s degree or equivalent work experience.
• 2+ years of related work experience; 4+ preferred in law enforcement or investigations.
• Ability to travel as necessary to complete responsibilities.
• Strong investigative and communication skills with the law enforcement community.
• Proficiency with computer software and adaptability to new technologies.
• Spanish and English language skills are a plus.

Responsabilidades

• Conduct basic to moderately complex investigations across auto, workers’ comp, and commercial claims.
• Gather and analyze information from internal and external sources; conduct interviews and recorded statements.
• Hire independent contractors and coordinate with law enforcement as required.
• Prepare investigation notes and summary reports; recommend action to management.
• Represent the company in court appearances as needed and engage with fraud agencies.

Conhecimentos

Investigative skills

Written and verbal communication

Travel ability

Computer software proficiency

Bilingual - Spanish

Formação

Bachelor's degree

Equivalent work experience

Ferramentas

Case management software

Descrição da vaga

https://sentryinsurance.wd1.myworkdayjobs.com/SentryCareers/job/Goldsboro-NC/Special-Investigator_JR-143147

This position will be seated at our office Nashville, TN or Goldsboro, NC locations.

As an SIU Desk Investigator, you will conduct basic to moderately complex claims investigations on potentially suspect/inflated auto, workers’ compensation, and commercial claims which may include but is not limited to compiling and analyzing information from internal and external sources, conducting interviews, hiring independent contractors, and referring claims to various law enforcement entities as required by law.

Investigate claims to identify suspect or inflated claims across all lines of business. This may include conducting scene investigations, taking recorded statements, assigning independent contractors, etc.

Compile and analyze data and information from these internal and external sources to aid in making suspect claims decisions that adhere to state and federal laws. Verify legitimacy of documents as necessary.

Conduct recorded interviews and examinations under oath of insureds, claimants, and witnesses for claims that involve suspicious indicators.

Maintain detailed investigation notes within SIU case management and claim systems, prepares summary reports to capture findings and recommends course of action to management which may include referring to law enforcement.

Communicate with company, industry and law enforcement fraud agencies (i.e. NICB, Index Bureau, FBI, etc.)

Communicate non-confidential material to claim staff concerning conclusions on suspicious claims submitted to the SIU.

Represents the company in court appearances as a possible witness on suspected fraudulent claims, including state and/or federal courts or grand jury hearings.

Motivate the claim staff to combat fraud and inflated claims using techniques such as creating office banners and visual aids, publishing specific case results and conducting meetings.

• Bachelor’s degree or equivalent work experience
• 2+ years of related work experience required, 4+ years experience is preferred, experience in some aspect of law enforcement, claims handling and/or criminal investigation preferred
• Ability to travel as necessary to satisfactory complete their job responsibilities as assigned
• Strong investigative skills along with ability work effectively with members of the claim staff and the law enforcement community
• Strong written and oral communication skills and the creativity to recognize potential fraud and develop a reasonable plan for investigating potential fraud cases
• Proficient and effective use of various computer software applications and the ability to adapt to new technologies when introduced
• The ability to speak both Spanish and English is a plus