SIU Expert Investigator

Position Summary

The SIU Investigator III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations may include multi-feature and attorney represented losses.

Position Responsibilities

• Uses appropriate field, computer, and telephone investigative techniques.
• Documents all investigative actions in a thorough, timely, and appropriate manner.
• Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements.
• Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management.
• Communicates critical situations to the Special Investigation Unit and field managers.
• Develops and maintains contacts with other Special Investigative Units and fraud related organizations.
• Routinely practices independent judgement and discretion.
• Must conform to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled.
• Assists with training and keeps all technical personnel advised of changes to law, fraud indicators, and tools available to combat fraudulent or suspicious claims.
• Performs all other duties as assigned.

Position Requirements

• A minimum of four (4) years as a Special Investigator II or three (3) years as a Special Investigator II with FCLS, CIFI, or CFE certifications.
• Excellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential.
• Must have a working knowledge of digital photo/document metadata and using the internet/social networking for investigative purposes.
• Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred.
• Possess a valid driver’s license and must meet qualifications for a company vehicle under the Company’s Vehicle Policy.
• Demonstrates effective and diplomatic oral and written communication skills.
• Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.

Benefits

This position will be a remote role, but will need to be residing in the local Miami Dade county area as their main location of their assignments.

Salary Range

The salary range for this position is $70,000-$117,000.

About the Role

This position will be a remote role, but will need to be residing in the local Miami Dade county area as their main location of their assignments.

Skills

Uses appropriate field, computer, and telephone investigative techniques. Documents all investigative actions in a thorough, timely, and appropriate manner. Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements. Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management. Communicates critical situations to the Special Investigation Unit and field managers. Develops and maintains contacts with other Special Investigative Units and fraud related organizations. Routinely practices independent judgement and discretion. Must conform to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled. Assists with training and keeps all technical personnel advised of changes to law, fraud indicators, and tools available to combat fraudulent or suspicious claims. Performs all other duties as assigned.

Qualifications

A minimum of four (4) years as a Special Investigator II or three (3) years as a Special Investigator II with FCLS, CIFI, or CFE certifications. Excellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential. Must have a working knowledge of digital photo/document metadata and using the internet/social networking for investigative purposes. Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Possess a valid driver’s license and must meet qualifications for a company vehicle under the Company’s Vehicle Policy. Demonstrates effective and diplomatic oral and written communication skills. Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.