SIU Examiner

Duties and responsibilities

• Receive referrals on questionable claims or other transactions, determine if further investigation is warranted and formulate a plan of action to handle if referral accepted.
• Conduct investigation of assigned questionable claims including recorded interviews, database searches and evaluation of evidence necessary to determine the legitimacy of a claim.
• Provide reports to management and assigned examiners as to findings and possible recommendations.
• Cookordination investigations with approved SIU investigators and experts when necessary and provide guidance as needed.
• Provide coaching, direction and training to associates in the realm of SIU investigations.
• Analyze and identify trends from the claims data and provide reports when necessary.
• Provide 626 requests to other carrier's 626 designees and respond to 626 requests from other carriers.
• Stay current on regulations and state laws. Develops fraud detection and prevention programs.
• Works with State DFS contacts and NICB.

Qualifications

• Louisiana Resident Adjuster License and ability to obtain and maintain reciprocal licensure for applicable states
• Associate’s Degree required; Bachelor’s Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree.
• At least 5 years of experience with a law enforcement agency or property claims handling experience.
• Demonstrated ability to research and conduct proactive investigations.
• Proficiency with Microsoft Office products required.
• Excellent communication skills, ability to interact on a professional level with internal and external personnel and partners.
• Ability to work independently in a fast-paced environment.
• Detail-oriented and exceptionally organized.