SIU Investigative Analyst, Commercial Claims (Remote)

AAA - CSAA Insurance Group; United States; Remote; USD 80,000 - 120,000; Full time

Job summary

AAA - CSAA Insurance Group seeks a SIU Investigative Analyst to identify and analyze commercial fraud cases remotely. The role involves leading fraud investigations, coordinating with senior management, and ensuring compliance with regulations. Ideal candidates will have significant experience in claims and fraud detection. Join us to help redefine commercial insurance while contributing to a culture of dedication and innovation.

Benefits

Performance bonus

401(k) with company match

Qualifications

• 7-10 years of experience in complex claims.
• 2-3 years of SIU experience required.
• May need to obtain a state-specific Adjuster’s license.

Responsibilities

• Identifies and analyzes potential fraud cases.
• Leads complex fraud investigations.
• Creates and delivers fraud training.

Skills

Analytical thinking

Problem-solving

Fraud detection

Technical tools proficiency

Education

Bachelor's degree in a related area

Job description

SIU Investigative Analyst, Commercial Claims (Remote)

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 Investigative Analyst, Commercial Claims (Remote)

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 Investigative Analyst, Commercial Claims (Remote)

Requisition Number

R7240 SIU Investigative Analyst, Commercial Claims (Remote) (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 Investigative Analyst, Commercial Claims.

Your Role:

Identifies potential commercial fraud cases, analyzes referred potential fraud cases, determines need for SIU investigation and assigns cases to investigators. Leads and coordinates complex fraud ring and vendor fraud investigations. Designs, creates and maintains technical tools for fraud detection. Serves as SIU Subject Matter Expert and mentor. Creates and delivers fraud training. Evaluates and interprets regulatory environment and takes action to ensure Mobilitas compliance with applicable regulations. Provides regular and ad-hoc SIU reporting. Routinely collaborates with and presents findings to internal and external senior management.

Your Work:

Claim Detection and Assignment

• Analyzes claims referred by adjusters to determine suitability for SIU investigation.
• Uses tools to detect claims suitable for SIU investigation and assigns cases to investigators for all lines of business.
• Uses tools to detect and illustrate complex organized fraud activity.
• Evaluates investigative results and coordinates further investigations with investigators and management as needed.
• Designs, creates, maintains, and enhances complex databases and software programs for use in detecting fraud, e.g., Graph DB, SIU Portals office tools.

Peer leadership /Subject Matter Expert

• Functions as peer leader for investigators in complex organized fraud ring investigations and provides mentoring on investigative approaches.
• Designs and delivers training for peers and claims staff.
• Leads and coordinates ring investigations and vendor investigations.

Compliance

• Reads, interprets, and provides proposed solutions to regulatory compliance requirements for SIU in a multi-state environment.
• Writes and/or amends draft fraud plans for states requiring them.
• Crafts and implements center adjusting training in regimen to meet fraud requirements of disparate states.
• Collaborates with corporate compliance function, providing answers and documentation for market conduct audits relative to fraud.

Reporting

• Builds and completes business reporting for department on monthly basis.
• Develops ad hoc reports for management as needed.

Required Experience, Education and Skills:

• Bachelor's degree in related area or an equivalent combination of education and experience.
• 7-10 years of experience handling complex claims, preferably in multiple claims disciplines, i.e., Casualty, Homeowner, etc.
• 2 -3 years of SIU experience.
• Depending on assignment, may be required to obtain and maintain Adjuster’s license (state-specific).

What would make us excited about you:

• Prior SIU, fraud, or criminal investigations experience.
• A background in Commercial Claims.
• 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.

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About the company

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

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