SIU Field Investigator II

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.  These investigations may be suspicious or unlawful activity by policyholders, vendors and others and are conducted in a prompt, expeditious and ethical manner. 

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.
• Drafting 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.  Attending 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%

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

Due to current business and operational considerations, we currently hire employees residing in the following states at this time: AL, AR, CA, CT, FL, GA, KY, MO, NC, NV, OH, SC, TN, TX, VA, and WI.

Work Authorization Requirement:

• This role requires permanent U.S. work authorization and does not offer employer sponsorship now or in the future.

​​​​WRM is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, or veteran status. We take affirmative action to ensure that all employment decisions are based on merit, qualifications, and abilities.

Notice to Third Party Agencies: WRM does not accept unsolicited resumes from third party recruiting firms. Absent a signed Service Agreement by WRM’s Human Resources Department, WRM reserves the right to pursue and hire these candidates without financial obligation to recruiters or agencies.

Salary : $68,000 - $85,000