SIU Field Investigator - Tampa/Orlando

About the role

You will conduct investigations into suspicions of insurance fraud on assigned claims involving multiple lines of business. The ideal candidate’s location is in the Tampa, FL to Orlando, FL area. This role will primarily work from home with travel required in and around the area.

Responsibilities

• Conduct basic to moderately complex claims investigations on potentially suspect/inflated auto, workers’ compensation, and commercial claims
• Compile and analyze information from internal and external sources
• Conduct interviews, hire independent contractors, and refer claims to law enforcement entities as required by law
• Investigate claims, both inside and outside the home office, to identify suspect or inflated claims across all lines of business
• Verify legitimacy of documents as necessary
• Conduct recorded interviews and examinations under oath of insureds, claimants, and witnesses
• Maintain detailed investigation notes within SIU case management and claim systems, prepare summary reports, and recommend course of action to management
• Communicate with company, industry, and law enforcement fraud agencies
• Communicate non-confidential material to claim staff concerning conclusions on suspicious claims
• Represent the company in court appearances as a possible witness on suspected fraudulent claims
• Motivate the claim staff to combat fraud and inflated claims

Requirements

• Bachelor’s degree or equivalent work experience, degree in Police Science, Police Administration or Criminal Justice beneficial
• 2+ years of related work experience required, 4+ preferred
• The ability to speak both Spanish and English is preferred
• Prior experience in some aspect of law enforcement, claims handling, and/or criminal investigation preferred
• Strong investigative skills along with ability to work effectively with members of the claim staff and the law enforcement community
• Strong written and oral communication skills and the creativity to recognize potential fraud and develop a reasonable plan for investigating potential fraud cases
• Proficient and effective use of various computer software applications and the ability to adapt to new technologies when introduced

Qualifications

• Special Investigator certification preferred
• Knowledge of insurance fraud and legal requirements
• Experience with computer systems used in claims processing

Skills

• Excellent analytical and problem-solving skills
• Strong interpersonal and communication skills
• Ability to work independently and as part of a team
• Attention to detail and accuracy
• Ability to manage multiple tasks and priorities

Benefits

• Company car with fuel card
• Meal Subsidy
• 401(K) plan with a dollar for dollar match
• Sentry University (SentryU)
• Generous Paid-Time Off plan
• Health and Wellness benefits
• Employee Assistance programs
• Sentry Foundation gift matching program

Pay

Competitive salary commensurate with experience.

Schedule

Primarily works from home with travel required in and around the Tampa, FL to Orlando, FL area.