SIU Desk Investigator

Sentry Insurance; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) match

Paid time off

Tuition reimbursement

Wellness resources

Parental leave

Employee assistance program

Job summary

Sentry Insurance is seeking an SIU Desk Investigator to perform basic to moderately complex claims investigations in Nashville, TN or Goldsboro, NC. You will gather and analyze information from multiple sources, conduct interviews and examinations under oath, and coordinate with law enforcement when fraud indicators are identified.

You will document findings in SIU case management systems, produce summaries, and recommend actions to management.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 2+ years of related work experience; 4+ years preferred; experience in law enforcement, claims handling or criminal investigation preferred.

Responsibilities

• Investigate suspect/inflated claims across auto, workers' comp, and commercial lines.
• Conduct scene investigations, take statements, hire independent contractors, and refer to law enforcement as needed.
• Analyze internal and external data to support suspect claim decisions and verify documents.
• Conduct interviews and examinations under oath of insureds, claimants, and witnesses for suspicious claims.
• Maintain investigation notes in case management systems and prepare reports with recommended actions.
• Coordinate with fraud agencies (NICB, Index Bureau, FBI) and share non-confidential conclusions with claims staff.
• Attend court appearances as a potential witness in fraud cases and support defense.
• Motivate staff to combat fraud via communications and team meetings.

Skills

Investigations

Interviews

Data analysis

Statement taking

Court testimony

Criminal law knowledge

Spanish (plus)

Education

Bachelor's degree

Tools

Case management software

MS Office

Job description

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.

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What it Takes

• 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

Here is what you can look forward to as part of our team:

At Sentry, your total rewards go beyond competitive compensation. We're committed to supporting the whole you, which is why we offer a comprehensive package designed to help you thrive both professionally and personally.

• Hybrid Flexibility:Enjoy the best of both worlds. With optional work from home on Mondays and Fridays and join your team in the office Tuesday through Thursday to collaborate and learn. We provide the technology and tools you need for both your office and home workspace from day one.
• Dining on Us:Depending on your location, we may provide a stipend that can be used at our on-site cafeteria or a meal allowance to keep you fueled.
• Continuous Learning:Unlock your potential through Sentry University and take advantage of our tuition reimbursement program.
• Comprehensive Benefits:We support your whole self with group medical, dental, and vision insurance along with parental leave, pet insurance, caregiver leave, and wellness resources. Options for HSA, FSA, and Dependent Care FSA are available.
• Work-Life Balance:Enjoy your generous Paid Time Off allowance to rest and take advantage of paid Volunteer Time Off to support your community.
• Investing in Your Future:We're committed to your long-term financial well-being. We offer a 100% company match on the first 8% you contribute to your 401(k) each pay period, and those funds vest immediately.
• Giving Back:Through the Sentry Foundation, we're proud to support the United Way and make a difference in our communities.

Why Join Sentry?

At Sentry, we believe our people are the heart of our success. We're proud to be recognized for the culture we've built, earning spots on Forbes' lists for America's Best Midsize Employers and Best Employers for New Grads, as well as Newsweek's America's Greatest Workplaces for Women and Diversity. These honors reflect our commitment to your professional satisfaction and growth.

Building on a Legacy

Our future is bright, but it's anchored in a long history of stability. Since our founding in 1904, we've dedicated ourselves to helping businesses protect their futures. That trust has made us one of the largest and most financially stable mutual insurance companies in the U.S. We're proud to have maintained an A+ rating from A.M. Best, the industry's leading authority, for over 30 years.

Your Career, Our Community

Whether you're working at our headquarters in Stevens Point, Wisconsin, or one of our many offices across the country, you'll find a challenging and rewarding environment. Explore the Our Teamstab on our Career Page to see the diverse career paths we offer, with a focus on ongoing development and professional growth.

Ready to own your future? Join us at Sentry, opportunities await!

Equal Employment Opportunity

Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.