SIU Investigator

AmTrust Financial Services, Inc.; United States; Hybrid; USD 55,000 - 120,000; Full time

Job summary

AmTrust Financial Services, a leading company in the insurance industry, seeks a knowledgeable SIU Investigator dedicated to combating fraud. The position emphasizes teamwork, analytical skills, and exceptional communication, making it a key role in the fight against insurance fraud. Competitive compensation and benefits are offered, along with the opportunity for career advancement in a diverse environment.

Benefits

Medical & Dental Plans

401k Savings Plans

Paid Time Off

Life Insurance for family

Qualifications

• Experience interpreting and analyzing large amounts of data.
• Insurance investigation experience strongly preferred.
• Respect for confidential information.

Responsibilities

• Investigate insurance fraud and document investigative plans.
• Collaborate with cross-departmental teams to resolve issues.
• Conduct in-depth searches and telephonic investigations.

Skills

Organizational skills

Leadership skills

Communication skills

Time management skills

Analytical skills

Education

Associate’s or Bachelor’s degree in criminal justice or related field

5+ years of insurance claims investigation experience

7+ years of professional investigation experience

Job description

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Overview

The SIU Investigator reviews and investigates referrals to AmTrust SIU to evaluate for the potential of insurance fraud (perpetrated by claimants, insured, agents, brokers, providers). The SIU Investigator is the expert when it comes to building a line of defense against fraud. The SIU investigator is expected to act in accordance with AmTrust’s mission, vision, and values.

Overview

The SIU Investigator reviews and investigates referrals to AmTrust SIU to evaluate for the potential of insurance fraud (perpetrated by claimants, insured, agents, brokers, providers). The SIU Investigator is the expert when it comes to building a line of defense against fraud. The SIU investigator is expected to act in accordance with AmTrust’s mission, vision, and values.

*This position requires a hybrid schedule out of one of our AmTrust Offices*

People

Responsibilities

Provide professional, timely and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues pertaining to SIU and investigative referrals. Collaborate closely with underwriting, audit and claims personnel to evaluate all aspects of a referral and determine an investigative path, and document investigative plan. Build strong relationships with our team of internal adjusters and external vendors. Provide timely service to ensure investigation is moving forward.

Process

Exercise exceptional process adherence to create consistent investigations yielding impact on the direction of the file. Lead investigation into combatting major case fraud. Evaluate investigative referrals to determine if suspicious elements are present and justify an SIU investigation. Conduct in-depth investigative searches via designated tools and conduct telephonic investigations to develop facts. Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud.

Performance

Leverage the use of technology and data to support the strategic vision. Understands and anticipates requirements and takes action to provide high-quality investigative services to exceed expectations. Ability to be a problem solver when issues arise and identify alternative solutions to continue to drive performance and results. Track and document all investigative activities and results. Demonstrates an understanding of the organization and its product/service offerings and leverages organizational values and relationships in ensuring tasks are accomplished. Perform other functionally related duties as assigned.

#AmTrust

#REMOTE

Qualifications

Qualifications

• An Associate’s or Bachelor’s degree in criminal justice or a related field from an accredited college or university OR 5+ years of insurance claims investigation experience OR professional investigation experience with law enforcement agencies OR 7+ years of professional investigation experience.
• Insurance investigation experience strongly preferred.
• Demonstrated experience with commercial casualty, property, automobile, and workers’ compensation insurance products.
• Demonstrated ability to interpret and analyze large amounts of data and make an informed, calculated decisions.
• Respect for confidential information.
• Excellent organizational, leadership, communication, and time management skills.
  
  

What We Offer

• AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
• AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
• AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
  
  

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other, Information Technology, and Management

• Industries

  Insurance

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