SIU Field Investigator II (Property & Casualty Insurance)

Position Summary

The SIU department encompasses complex claims investigations of suspicious and fraudulent claims investigation. The unit reports information to and coordinates with law enforcement and state fraud bureaus for regulatory compliance and criminal prosecutions. The position is responsible for conducting in-depth field investigations of suspicious property insurance claims that vary in complexity.

Prior Essential Functions

• Prioritize assignments and conduct necessary field work exercising independent judgment, initiative and decision-making skills.
• Analyze facts and data, telephonic interviews, and a review of claim documents.
• Draft thorough detailed investigative reports to include developing the appropriate investigative action that justifies a proper recommendation to claims adjusters and management.
• SIU supports its independent IA firms and internal departments, when needed, that may include identifying training needs; participation in developing and presenting training to raise the awareness of potential fraud.
• Regularly meet with claims management to keep them informed of trends that may have an impact on claims in a specific assigned region/territory.
• Develop and maintain industry, federal, state, and local government contacts involved in fraud investigation, detection, and prevention.
• Maintain and pursue technical competency by continuous learning in fraud education with an emphasis on insurance fraud seminars and other company sponsored courses at the direction of the SIU Manager.
• Attend monthly meetings facilitated by regulatory agencies and other fraud related organizations.
• Conduct Field investigations to include neighborhood canvasses, interviewing vendors, scene photos, business inquiries, asset recovery, taking statements in person, etc.
• Aid our legal team in preparation for litigation or subrogation, skip trace for witnesses, etc.
• Travel 50% - 70%

Qualifications Required

• Education and Experience: Experience in SIU and/or investigative work in property/casualty claims.
• Candidate must possess a professional demeanor characterized by integrity, good character, and mutual respect.
• Knowledge of Florida Statutes and Administrative Code.
• Excellent verbal and written communication skills.
• Ability to work independently with minimal supervision.
• Strong interpersonal skills, including experience taking written and oral statements and evidence gathering techniques.
• Strong organizational and time management skills to manage a high volume of assignments.
• Excellent analytical and problem-solving skills, independently motivated and strong attention to detail.
• Proficient in MS Office, including Word, Excel, PowerPoint, and Outlook.

Preferred Qualifications

• Prior experience in criminal justice, investigations, or related field.
• Private Investigator certification is a plus.
• Industry certification (CIFI, CFE, FCLS).
• Claims Adjusting experience, 620 license is a plus.