SIU Investigator

Capital Insurance Group; Bakersfield (CA); Hybride; USD 70 000 - 117 000; Plein temps

Résumé du poste

Capital Insurance Group is seeking an SIU Investigator to join the Claims team. You will investigate suspicious claims, identify potential fraud, and develop well-documented cases to support outcomes and potential prosecution.

You will also train and assist claims staff in investigation strategies, including statement taking, document review, and medical records analysis, while coordinating with the SIU Manager on annual training and compliance activities.

Qualifications

• 5–7 years of insurance or investigative experience.
• Experience handling litigated claim files and mediation/arbitration/trial participation preferred.
• Valid Driver License required.
• Authorized to work in the United States without sponsorship.

Responsabilités

• Investigate suspicious claims and identify potential fraud.
• Develop well-documented cases to support claim outcomes.
• Provide training and support to claims staff on investigation strategies.
• Conduct statement taking, document analysis, and medical record review.
• Collaborate with the SIU Manager on annual training and compliance activities.

Connaissances

Investigation

Fraud detection

Interviewing

Documentation

Legal concepts

Formation

AIC Certification

CPCU

NCFIA

SCFIA

IASIU

Description du poste

At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career!

CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees.

Why choose CIG’s Claim’s Team?

CIG claims department is here to support our insureds throughout their claims process. We work directly with our agency partners and policyholders to accomplish successful claim resolutions. Join the claims operation and you can be part of a team who provides excellent service, build relationships, and achieves successful outcomes for our clients.

• Accrue twenty-one days of Paid Time Off during your first year
• Up to eighty-seven percent of benefits covered by CIG for you and your family members
  • Medical, dental, vision plans
• One hundred percent covered plans
  • Basic Life & AD&DD
  • Employee Assistance
  • Leave Management
  • Long Term Disability
  • Short Term Disability (Outside of CA)
• Family Caregiver Support (Homethrive)
• Child Care Resources (Tootris)
• Business Travel Accident Protection
• Voluntary benefit offerings
  • Short-term (CA only)
  • Voluntary Life AD&DD self, spouse and child plans
  • Flexible Spending
  • Health Savings (HSA)
  • Hospital Indemnity
  • Accidental Injury
• Critical Illness
• ARAG Legal Services
• Norton LifeLock
• Above and Beyond Reward Recognition Program
  • Kudos & Shout Out Points Program
  • Quarterly Above and Beyond Bonus Program
  • Annual Above and Beyond Bonus Program
• Competitive compensation
  • Base compensation
  • Salary Management Spot Bonuses
  • Annual Incentive/Profit sharing program, potential payout annually based on company results.
• Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more
• Insurance Educational reimbursement and bonus programs
• Employee Referral Bonus Program
• Home and Auto Insurance Discount Program.
• Paid Volunteer Time – Through company planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you!
• Retirement savings benefit (401k and Roth + match)
• Wellness platform, tools and events
• Health Savings Account – match
• Financial Wellness Resources

This is a hybrid-eligible position, where Monday through Wednesday would be working in one of our offices, with Thursday and Friday eligible for work-from-home days. Office locations include: Monterey (CA), Roseville (CA), Bakersfield (CA), Phoenix (AZ), and Spokane (WA).

Job Overview:

The SIU Investigator is responsible for investigating suspicious claims, identifying potential fraud, and developing well-documented cases to support claim outcomes and potential prosecution.

Provides training and support to claims staff in support of strengthening identification of potential red flags and investigation strategies across the claims organization, to include statement taking, document analysis, and medical record review.

Directly involved in statement taking and other investigative activities as warranted. Works with the SIU Manager on annual training, onboarding, and compliance related activities, as needed.

• Knowledge of property-casualty coverages, DOI regulations, legal concepts, and comprehension of contracts, case law, medical treatment and medical terminology.
• Must be results oriented and capable of conducting various investigations independently.
• Must have excellent communications skills to express ideas, interview parties, and be able to work collaboratively with and educate claims staff on investigation strategies.
• 5-7 years of insurance or investigative experience.
• Experience in handling of litigated claim files as well as mediation/arbitration/trial participation is preferred.
• Previous experience in law enforcement or fraud investigation is highly desirable.
• Professional designation and certifications (AIC, CPCU, NCFIA, SCFIA, IASIU, etc.) recommended.
• Must maintain a valid Driver License and ability to safely operate a vehicle.
• Candidates must be authorized to work in the United States without the need for current or future visa sponsorship.

Salary Range: $70,293.00 - $117,155.97

The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.