Surveillance Case Coordinator

Allied Universal; Nashville (TN); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, vision, life and AD&D

Seven paid holidays

Vacation accrual 3.08 hours biweekly

Job summary

Allied Universal Compliance and Investigation Services is hiring a Surveillance Case Manager to support insured investigations from a remote, home-based setting. You will liaise between clients and field staff, ensure timely file closures, and create accurate funding records for billable items.

The role requires a Bachelor’s degree in a related field and at least two years of experience in complex insurance investigations; strong judgment is essential for resolving conflicts and ensuring client

Qualifications

• Formal Education, Licenses, and Certifications Required:
• Bachelor’s degree in a related field is required.
• Experience in insurance investigations is preferred.

Responsibilities

• Ensure timely closing of all files and describe unused authorization when applicable.
• Define client objectives for new, reopen, and investigative referral cases; document clearly in CAM.
• Consult with clients to develop efficient, ethical investigations of insurance claims.
• Maintain quality control after investigation and ensure billing aligns with standards or contracts.
• Manage case inventory with discretion; address client concerns and escalate issues as needed.

Education

Bachelor’s degree in Business, Business Administration, Criminal Justice, International Studies, National Security, Communications, or a related field

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 Surveillance Case Manager.

This is a remote, work from home, position

The Case Manager is responsible for all customer service functions and quality control of the final investigative product, also serving as the liaison between the client and the field staff who conduct the investigation.

Case Managers are also responsible for creating accurate funding records for all items billable to the client, as well as sound management of their assigned case inventory.

Case Managers must utilize discretion and independent judgment to resolve conflicts between clients and/or investigators.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

• Ensure timely closing of all files on which the client requires no additional investigative activity. Upon closure of files that have unused authorization monies, a detailed description of the reasons for this unused authorization must be provided


• Use independent judgment to define and confirm client objectives (including due dates) on all new, reopen, and investigative referral cases; objectives must be clear and completely defined in the “Client objectives” section of CAM (proprietary business software)


• Consults the client to develop and implement an efficient, effective, and ethical investigation of an insurance claim.


• Maintains quality control after investigation is completed, ensuring that all client objectives have been addressed and achieved, and that the billing applied to this work product falls within the AUS standard billing schedule or client contract rates.


• Use sound management of their assigned case inventory utilizing discretion and independent judgment to resolve conflicts between clients and/or investigators; respond to customer concerns (negotiating as needed) and forward field operation issues to appropriate Filed Manager as needed

BASIC QUALIFICATIONS:

Formal Education, Licenses, and Certifications Required:

• Must possess a Bachelor’s degree in Business, Business Administration, Criminal Justice, International Studies, National Security, Communications, or a related field

Type and Length of Specific Experience Required:

• Prefer a minimum of two (2) years of experience conducting complex insurance investigations

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

If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.