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SIU Research Investigator

Sedgwick

Milwaukee (WI)

On-site

USD 50,000 - 70,000

Full time

10 days ago

Job summary

A leading claims administration firm is seeking a SIU Research Investigator to perform claims investigations using specialized techniques. This role requires a high school diploma, two years of insurance industry experience, and excellent communication skills. The ideal candidate will document findings meticulously and work collaboratively within a team environment. The company emphasizes a caring culture and offers opportunities for professional growth.

Benefits

Work-life balance
Diverse and inclusive workplace
Professional growth opportunities

Qualifications

  • Two years of insurance industry experience or equivalent.
  • Ability to manage multiple assignments and set priorities.
  • PC literate including Microsoft Office products.

Responsibilities

  • Perform claims investigations utilizing online public and subscription database searches.
  • Conduct thorough search and inspection of available records.
  • Document findings in a detailed professional investigative report.

Skills

Excellent oral and written communication skills
Strong organizational skills
Analytical and interpretive skills
Ability to work in a team environment
Good judgment and discretion skills

Education

High school diploma or GED

Tools

Microsoft Office products

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

SIU Research Investigator

PRIMARY PURPOSE : Performs claims investigations utilizing online public and subscription database searches, conducts various research investigations using specialized techniques and technologies, and compiles document findings in detailed, professional reports and makes recommendations as appropriate.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs research investigation assignments as requested by examiners, clients or assigned legal counsel.

  • Conducts thorough search and inspection of available public and subscription database records.

  • Conducts comprehensive background investigations, medical and other facility canvasses, social media searches, social media monitoring, geo-fencing, skip traces, and other specialized research investigations.

  • Documents findings in a detailed, professional investigative report.

  • Identifies, documents and communicates red flag indicators and makes additional handling recommendations as appropriate.

  • Maintains proper documentation of all relevant facts and evidence pertaining to the case in the appropriate claim handling system(s) and ensures investigations are completed according to service expectations and SIU best practices.

  • Maintains technical competency and adherence with all applicable legal codes and statutes to ensure all investigations are conducted in a legal and ethical manner.

  • Complies with deposition and courtroom testimony appearances as requested.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

Two (2) years insurance industry experience or equivalent combination of education and experience.

Skills & Knowledge

  • Excellent oral and written communication skills

  • PC literate, including Microsoft Office products

  • Strong organizational skills

  • Excellent interpersonal skills

  • Ability to work in a team environment

  • Ability to meet or exceed Performance Competencies

  • Analytical and interpretive skills

  • Good judgment and discretion skills

  • Ability to manage multiple assignments and set priorities

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory/Visual : Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

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