Senior SIU Investigator

Key Accountabilities/Deliverables

• Evaluate SIU referrals to establish if there are suspicious elements present that might warrant a SIU investigation and prepare concise investigative plans of action.
• Submit assignments to vendors for various investigative tasks when warranted and manage those assignments while controlling costs.
• Obtain, evaluate, and act on information and documentation received and communicate effectively with the claims staff, other insurance carriers, and law enforcement organizations such as the NICB, Department of Insurance, etc.
• Conduct data analysis and utilize analytical tools to identify suspicious claims.
• Prepare and submit investigative reports detailing and documenting all phases of an investigation to assist in the resolution of the claim.
• Compile and submit referrals to the NICB, Departments of Insurance, and other law enforcement agencies as warranted, clearly summarizing the investigation, and detailing the suspected fraud.

Technical Knowledge and Understanding

• Intermediate to Advanced Microsoft Office Skills/ multiple software applications.
• Fluent with multiple investigative computer programs such as TLO, ISO, Accurint, etc.

Experience

• Bachelor’s degree is preferred.
• Minimum of 3 years of SIU-related experience for an insurance company and/or law enforcement investigative experience, or an equivalent combination of education and experience, is required.
• Experience with organized fraud rings, Rico actions etc. preferred.
• Industry-related professional designations such as FCLS, FCLA, and/or CIFI are preferred.

Qualifications

• Must be authorized to work for any employer in the U.S.
• Ability to analyze and solve problems, working closely with others to coordinate and complete projects.
• Spanish / multiple language skills are preferred.

Pay

The expected pay range for the role is $80,000 - $05,000. The specific offer will depend on an applicant’s skills and experiences.

Schedule

This is a remote position.

Benefits

• Medical, dental, vision, and life insurances.
• Short and long-term disability.
• A Company-match of 100% of a 6% contribution 401(k) plan.
• An Employee Assistance Plan.
• Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program.