SIU Investigator

Allied Universal; Pittsburgh (Allegheny County); On-site; USD 37,000 - 44,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan (401k)

Disability insurance

Seven paid holidays

Job summary

Allied Universal is seeking an SIU Investigator to independently investigate suspected fraudulent insurance claims across multiple coverages, including workers’ compensation and general liability. You will gather information via interviews, data collection, and collaboration with various SIU entities and law enforcement.

Strong knowledge of anti-fraud laws and insurance regulations is essential. This role requires a valid Private Investigator license (where applicable), 5+ years in complex

Qualifications

• Bachelor’s degree in Criminal Justice or equivalent with fraud investigation experience.
• Private Investigator license as required by the state of work.
• Post-offer Allied Universal Investigations training/orientation course.
• Five+ years in complex insurance investigations or claims.
• Knowledge of anti-fraud laws and insurance regulations.
• Proficient with laptops and cell phones.
• SIU compliance knowledge.
• Ability to type 40+ WPM with low error.
• Ability to work varied hours including weekends/holidays.

Responsibilities

• Independently investigate suspected fraudulent insurance claims across multiple coverages including workers’ compensation, general liability, property and casualty, and disability.
• Gather information through interviews, data collection, and collaboration with clients, case managers, other SIU entities, law enforcement and state Departments of Insurance.
• Create and maintain detailed documentation for investigations, reviews, audits, training tasks, and related assignments.
• Produce professional reports, memos, and letters that are clear and accurate.
• Run database indices when needed and verify results.
• Develop strategic plans to achieve assignment objectives with thorough documentation and client communication.

Skills

Fraud investigation experience

Interface with law enforcement

SIU compliance knowledge

Proficient typing

Laptops & mobile devices

Flexible hours

Anti-fraud law knowledge

Education

Bachelor’s degree in Criminal Justice

High School diploma with 5+ years in investigations

Tools

None

Job description

Overview

Company Overview:

Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Job Description

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

• Must possess a valid driver's license with at least one year of driving experience
• Candidate must reside in state listed in job posting
• Pay Rate: $27 - $32 / hr

RESPONSIBILITIES

• Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
• Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
• Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
• Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
• Run appropriate database indices if necessary and verify the accuracy of results found
• Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

QUALIFICATIONS (MUST HAVE)

• Must possess one or more of the following:
  • Bachelor’s degree in Criminal Justice
  • High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
• Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
• Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
• Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
• Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
• Proficient in utilizing laptop computers and cell phones.
• Special Investigative Unit (SIU) Compliance knowledge
• Ability to type 40+ words per minute with minimum error
• Flexibility to work varied and irregular hours and days including weekends and holidays

PREFERRED QUALIFICATIONS (NICE TO HAVE)

• Military experience
• Law enforcement
• Insurance administration experience
• Familiarity with California SIU regulations
• One or more of the following professional industry certifications:
  • Certified Fraud Investigator (CFE)
  • Certified Insurance Fraud Investigator (CIFI)
  • Fraud Claim Law Associate (FCLA)
  • Fraud Claim Law Specialist (FCLS)
  • Certified Protection Professional (CPP)
  • Associate in Claims (AIC)
  • Chartered Property Casualty Underwriter (CPCU)

BENEFITS

• Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
• Seven paid holidays annually, sick days available where required by law
• Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law

Closing

Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com