Surveillance Case Coordinator

Advance your career in insurance claims with Allied Universal® Compliance and Investigation Services. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry.

About the role

Allied Universal® is hiring a remote Surveillance Case Manager. The Case Manager is responsible for all customer service functions and quality control of the final investigative product, serving as the liaison between the client and the field staff who conduct the investigation. Case Managers also create accurate funding records for all items billable to the client and manage their assigned case inventory.

Responsibilities

• Ensure timely closing of all files on which the client requires no additional investigative activity. Upon closure of files with unused authorization monies, provide a detailed description of the reasons for unused authorization.
• Use independent judgment to define and confirm client objectives (including due dates) on all new, reopen, and investigative referral cases; objectives must be clear and completely defined in the “Client objectives” section of CAM (proprietary business software).
• Consult with the client to develop and implement an efficient, effective, and ethical investigation of an insurance claim.
• Maintain quality control after investigation completion, ensuring all client objectives are addressed and achieved, and that billing aligns with the AUS standard billing schedule or client contract rates.
• Manage assigned case inventory, utilizing discretion and independent judgment to resolve conflicts between clients and/or investigators; respond to customer concerns (negotiating as needed) and escalate field operation issues to the appropriate Field Manager.

Requirements

• Bachelor’s degree in Business, Business Administration, Criminal Justice, International Studies, National Security, Communications, or a related field.
• Minimum of two (2) years of experience conducting complex insurance investigations (preferred).

Benefits

• Medical, dental, vision, basic life, AD&D, retirement plan, and disability insurance.
• Seven paid holidays annually.
• Sick days available where required by law.
• Vacation time accrued at an initial rate of 3.08 hours biweekly; unused vacation is paid out only where required by law.