SIU Investigator II

About the role

We are seeking a SIU Investigator II to join our dynamic team at Root. This role plays a crucial part in our mission to combat insurance fraud and ensure fair claims processing.

Responsibilities

• Complete investigations of claims suspected of fraud, including complex cases involving multiple claims, providers, and organized fraudulent activities
• Investigate claims with indicators of potential misrepresentation, examining documents, files, interviewing witnesses, coordinating forensic work with vendors, and conducting Examinations Under Oath
• Occasionally testify in court proceedings in person or remotely, and complete sworn affidavits
• Act as a liaison for the Claims Staff in fraud training, awareness, and investigation
• Proactively review files to identify potentially questionable claims
• Engage in learning opportunities to build knowledge of personal lines claims, court decisions, guidelines, and policy changes
• Provide technical claims recommendations to improve case outcomes
• Recommend potential product developments and process improvements
• Work with leadership to develop and maintain state fraud compliance plans
• Serve as a resource and mentor for less experienced investigators

Requirements

• A minimum of 3 years experience handling investigations related to insurance/self-insured fraud, with a focus on automobile injury and property damage claims
• Prioritization of Fraud Claim Law Specialist certification, Certified Fraud Examiner designation, CPCU designation, or other relevant fraud investigation certifications
• Strong understanding and application of laws, statutes, and regulations specific to fraud handling
• Experience conducting Examinations Under Oath without significant direction or assistance
• Understanding of telematics location data and interpretation of forensic reports related to vehicle onboard systems such as Event Data Recorders
• A high sense of professionalism while remaining empathetic

Qualifications

• Ability to work independently and manage multiple tasks simultaneously
• Excellent communication and interpersonal skills
• Proficiency in legal and regulatory frameworks
• Ability to handle sensitive and confidential information with discretion

Skills

• Strong analytical and problem-solving skills
• Effective written and verbal communication skills
• Ability to work under pressure and meet deadlines
• Knowledge of insurance fraud prevention and detection techniques

Benefits

• Competitive salary range: $65,900 - $82,400
• Flexible work arrangements across the US
• Professional development opportunities
• Health and wellness programs
• Employee recognition and rewards

Pay

• $65,900 - $82,400

Schedule

• Full-time position