SIU Field Investigator - Orlando

Job Summary

The SIU Field Investigator supports Claims Department operations by researching and investigating suspicious or questionable property damage and injury claims. They conduct recorded statements and Examinations Under Oath as required, document claim files, and communicate in writing as needed. The role involves reporting suspicious claims to the department of insurance as required by statute, ensuring compliance with industry and company policies, and maintaining knowledge of changes in law.

Job Responsibilities

• Supports Claims Department operations in the research and investigation of suspicious or questionable property damage and injury claims
• Conducts recorded statements and Examinations Under Oath as required
• Completes field work as required
• Documents claim files and communicates in writing as required
• Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch
• Reports suspicious claims to the department of insurance as required by statute
• Maintains compliance with industry and company policies
• Understands regulatory/statutory requirements; develops and maintains knowledge of changes in law both at state and national levels
• Utilizes our claims and other various systems appropriately
• Attends industry meetings for communication trends
• Completes individual monthly Investigator report to manager
• Attends and participates in team meetings
• Participates in roundtable meetings
• Responsible for meeting individual goals and objectives
• Maintains consistent, fair, and diplomatic interactions with co-workers
• Performs other duties as assigned by SIU Manager

Job Qualifications

• Formal Education & Certification: Undergraduate College Degree or equivalent work experience may be considered
• Knowledge & Experience: 5 years of special investigation experience required. Casualty and PIP claims, as well as medical clinic investigations will be highly preferred. Claims and Property Damage investigations experience will be required.
• Skills & Competencies: Must be able to work in a fast-paced, paperless/automated production environment. Excellent PC skills are required. Excellent communication/interpersonal skills and ability to work with all levels within the organization and deal tactfully and diplomatically with public and outside authorities. Must be able to work as a team player throughout the company. Ensures that the highest degree of professionalism and integrity is maintained, and that decisions are made within the scope of what is fair, reasonable and appropriate according to applicable law and industry standards. Must have the ability to travel when necessary. Bilingual preferred. Florida Adjuster’s license is required prior to employment start date.