SIU Investigator

Allied Universal; Pittsburgh (Allegheny County); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Life insurance & AD&D

Retirement plan + disability insurance

Job summary

Allied Universal is seeking an SIU Investigator to independently pursue suspected fraudulent insurance claims across workers’ comp, general liability, property and casualty, and disability. Candidates will gather information via interviews, research, and collaboration with clients and law enforcement, and produce detailed reports.

The role requires a Private Investigator license, 5+ years in complex insurance investigations, and the ability to work flexible hours, including weekends/holidays.

Qualifications

• Bachelor’s degree in Criminal Justice or higher with relevant investigations experience.
• Demonstrated professional law enforcement experience focused on fraud investigations.
• Proficient in anti-fraud laws and insurance regulations in home state and region.
• Must be licensed as a Private Investigator where work is performed.
• Post-offer Allied Universal Investigations training/orientation completion required.
• Minimum five years of experience in complex insurance investigations or claims.
• Able to use laptops and cell phones effectively.
• SIU Compliance knowledge.
• Type 40+ words per minute with low error rate.
• Flexible to work varied hours including weekends and holidays.

Responsibilities

• Independently investigate suspected fraudulent insurance claims across multiple coverages.
• Gather information through interviews, research, and collaboration with SIU entities, law enforcement, and state agencies.
• Document investigations, file reviews, audits, and training tasks with thorough records.
• Produce professional reports, memos, and letters that are clear and concise.
• Run data indices and verify results accuracy as needed.
• Develop strategic plans to achieve assignment objectives and maintain client communications.

Skills

Investigative skills

Fraud awareness

Documentation

Typing speed 40+ wpm

Flexible hours/weekend availability

Education

Bachelor’s degree in Criminal Justice

High School diploma + 5 years law enforcement experience

Job description

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.

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.

• Job flexibility offering field work!
• Auto Allowance and Company Credit Card for fuel and travel!
• Must possess a valid driver’s license with at least one year of driving experience

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

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