Investigator - Surveillance / Claims / SIU

Advance your career in insurance claims investigation with Allied Universal® Compliance and Investigation Services. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators, committed to innovation and excellence in the insurance industry.

About the role

Allied Universal® is hiring a Surveillance/Claims/SIU Investigator to examine claims with red flags that suggest fraudulent behavior. The Investigator must use their extensive knowledge of insurance policies and fraud components to determine if claims warrant reporting to the appropriate state agency for prosecution.

• Private Investigator’s license required prior to applying
• Must possess a valid driver's license with at least one year of driving experience
• Work includes surveillance, claims, and SIU investigations

Responsibilities

• Independently investigate suspected fraudulent insurance claims for workers’ compensation, general liability, property and casualty, and disability coverage
• Acquire and gather information through data collection, interviews, research, and collaboration with 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
• 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
• Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

Requirements

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, specifically in fraud-related investigations
• Ability to be properly licensed as a Private Investigator as required by the state where work is completed

• Post-offer, must 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

• Military experience
• Law enforcement background
• 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, and AD&D insurance
• Retirement plan and disability insurance
• Seven paid holidays annually
• Sick days available where required by law
• Vacation time accrued at an initial rate of 3.08 hours biweekly; unused vacation is paid out only where required by law