SIU Desk Investigator, Commercial Claims

AAA - CSAA Insurance Group; Washington; Remote; USD 70,000 - 90,000; Full time

Job summary

AAA - CSAA Insurance Group seeks a SIU Desk Investigator to oversee insurance fraud investigations within the commercial sector. In this role, you will leverage advanced technologies to mitigate fraud, collaborate with law enforcement, and ensure compliance with regulations. The ideal candidate will have strong analytical abilities, significant experience in fraud detection, and a background in insurance claims, as you work to protect our clients and uphold our values of service and integrity.

Benefits

Performance bonus

401(k) with company match

Qualifications

• 5+ years of relevant work experience in claims and fraud investigation.
• Experience in the commercial auto environment preferred.
• Proficient in industry-specific technology.

Responsibilities

• Conduct investigations into suspected insurance fraud.
• Create detailed investigative action plans.
• Report findings to claims personnel and authorities.

Skills

Investigative skills

Analytical skills

Problem-solving skills

Communication skills

Education

High School Diploma/GED

BA/BS in finance, criminal justice or related field

Tools

Lexis Nexus

ISO Claims Search

Microsoft Office Suite

Job description

SIU Desk Investigator, Commercial Claims

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

SIU Desk Investigator, Commercial Claims

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

SIU Desk Investigator, Commercial Claims

Requisition Number

R7239 SIU Desk Investigator, Commercial Claims (Open)

Location

Colorado - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 20 more}

Job Information

We're Mobilitas, a commercial insurance company created by CSAA Insurance, a AAA Insurer. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today’s way of doing business. At Mobilitas, we believe in what's possible, we use our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We’re looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a SIU Desk Investigator.

Your Role:

The SIU Desk Investigator is responsible for the timely and efficient identification, investigation, and resolution of cases in the commercial TNC space. Ultimately, the value of their work will be demonstrated by both the mitigation and deterrence impact on those claims deemed questionable. Leveraging a deep understanding of emerging technologies and investigative techniques, the role will work to combat fraud effectively within the Mobilitas ecosystem.

Your Work:

• Identification, investigation, and deterrence/mitigation of suspected insurance fraud across multiple states.
• Conducts comprehensive case reviews and creates detailed investigative actions plans.
• Conducts a variety of standard investigative tasks, including background/ISO research, statements, document analysis, etc.
• Attends virtual EUOs.
• Adept at vendor management; the role requires formulating strategies around retaining defense counsel, field & surveillance investigators, forensic engineers, or other subject matter experts.
• Properly retains materials in accordance with federal and state rules of evidence.
• At the conclusion of the investigation, provide unbiased recommendations to claims personnel regarding claim resolution.
• Reports instances of suspected insurance fraud to the appropriate authorities, in accordance with statutory requirements.
• Testifies on behalf of Mobilitas in criminal or civil court as required.
• Provide training and guidance to other team members on best practices for fraud detection.
• Work closely with regulatory and law enforcement agencies to stay up to date with evolving trends in fraud patterns and countermeasures.
• Complies with local, state, and federal statutes regarding proper, timely, and ethical insurance investigations.
• Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
• Serves as the subject matter expert (liaison) on fraud to business and industry partners.

Required Experience, Education and Skills:

• High School Diploma/GED or 5 years of relevant work experience in claims and/or fraud investigation.
• 5+ years of experience handling complex claims, preferably in the commercial auto environment.
• Depending on assignment, may be required to obtain and maintain Adjuster's license (state-specific).
• Strong investigative, analytical and problem-solving skills.
• Strong written and oral communication and presentation skills.
• Proficient in using industry specific technology (i.e. Lexis Nexus, ISO Claims Search).
• Proficient in use of Microsoft products (Excel, Word, Power Point, Teams, etc.).
• Superior attention to detail and the ability to manage multiple investigations simultaneously.

What would make us excited about you:

• Prior SIU, fraud, or criminal investigations experience.
• BA/BS in finance, criminal justice or another related field.
• Industry certifications, such as the CIFI, CIFA, CFE, or FCLS.
• Knowledge of available resources (internal and external) to assist in investigations.
• Proficiencies in accurate reporting, and training.
• Understanding of claim best practices.
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.).
• Fulfills business needs, which may include investing extra time, helping other teams, etc.

Mobilitas Careers

At Mobilitas, we’re proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.

Join us if you…

• BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.
• COMMIT to being there for our customers and employees.
• CREATE a sense of purpose that serves the greater good through innovation.

Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.

In most cases, you will have the opportunity to choose your preferred working location from the following options when you join us: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us.

If a reasonable accommodation is needed to participate in the job application or interview process, please contact [e-mail] .

As part of our values, we are committed to supporting inclusion and diversity. We actively celebrate colleagues’ different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us. We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers’ evolving needs.

Mobilitas is an equal opportunity employer.

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Must have authorization to work indefinitely in the US.

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

#LI-CH1

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About the company

American Automobile Association is a federation of motor clubs throughout North America.

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