SIU Field Investigator II

Description

Position Summary:

The SIU department encompasses low to moderately complex claims investigations of suspicious and fraudulent claims investigation. The unit reports information to and coordinates with law enforcement or 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 of 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. Attend monthly meeting facilitated by regulatory agencies and other fraud related organizations
• Conduct Field investigations to include neighborhood canvasses, interviewing vendors, scene photos, business inquiries, asset recovery, etc.
• Aid our legal team in preparation for litigation or subrogation, skip trace for witnesses, etc.
• Travel 50% -70%
  
  

Qualifications

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

• Claims Adjusting experience, 620 license a plus
• Industry certification (CIFI, CFE, FCLS)
• Experience in criminal justice, investigations, or related field
• Private Investigator certification is a plus
  
  

Work Authorization Requirement

• This role requires permanent U.S. work authorization and does not offer employer sponsorship now or in the future.
• Our company cannot support OPT, CPT, H-1B, STEM OPT, TN, L-1, or any other visa types that require sponsorship.