SIU Investigator: Insurance Fraud Specialist

Allied Universal

Newark (NJ)

On-site

USD 37,000 - 44,000

Full time

9 days ago

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Benefits offered by this job

Medical, dental, vision
Retirement plan
Seven paid holidays
Sick days as required by law

Job summary

Allied Universal Compliance and Investigation Services is hiring an SIU Investigator in New Jersey to examine insurance claims with red flags for potential fraud. The role requires a valid Private Investigator license, strong investigative skills, and the ability to work flexible hours.

The incumbent will gather evidence, interview sources, prepare professional reports, and collaborate with clients, case managers, and law enforcement.

Qualifications

  • Bachelor’s degree in Criminal Justice or equivalent law enforcement experience.
  • Five (5) years of demonstrated professional law enforcement experience with focus on fraud investigations.
  • Ability to be licensed as a Private Investigator where work is completed.
  • Post-offer Allied Universal investigations training.
  • Five (5) years of experience conducting complex insurance investigations or adjusting complex insurance claims.
  • Understanding of anti-fraud laws, insurance regulations, and compliance in home state/region.
  • Proficiency with laptops and mobile devices.
  • SIU compliance knowledge.
  • Ability to type 40+ wpm with minimal errors.
  • Willingness to work varied hours including weekends/holidays.

Responsibilities

  • Independently investigate suspected fraudulent insurance claims across multiple coverages.
  • Gather information via interviews, data collection, and collaboration with clients, case managers, law enforcement, and state departments of insurance.
  • Maintain detailed documentation for investigations, reviews, audits, training tasks, and assignments.
  • Produce clear, professional reports, memos, and letters.
  • Run database indices and verify results when needed.
  • Develop strategic plans to achieve objectives with thorough documentation and client communication.

Skills

Law enforcement experience
Investigations
Fraud detection
Typing 40 wpm
Private Investigator license

Education

Bachelor's degree in Criminal Justice
High School diploma with 5 years fraud investigations

Tools

Laptop
Cell phone usage

Job description

Allied Universal Compliance and Investigation Services is hiring an SIU Investigator in New Jersey to examine insurance claims with red flags for potential fraud. The role requires a valid Private Investigator license, strong investigative skills, and the ability to work flexible hours.

The incumbent will gather evidence, interview sources, prepare professional reports, and collaborate with clients, case managers, and law enforcement.

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