Investigator II
6 days ago
Job Description
COMPANY OVERVIEW:
Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for SIU Investigator II based in
Tampa, FL
to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States.
The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling.
Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry.
We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business.
SCOPE:
As a Tampa – based, SIU Investigator II for UAIC, you will be responsible for conducting field as well as desk investigations to detect fraud on
high
complexity claims involving staged auto accidents, fraud rings, and questionable medical treatment. You will provide investigative expertise to limit exposure and protect company assets. These investigations involve auto liability private passenger and commercial auto lines for non-standard policies.
Investigations may include database searches, Examinations Under Oath, and scene canvasses. Focusing on thoroughness, quality, timeliness, and cost control.
Our special investigator will prepare and submit SIU investigative reports covering all phases of the investigation in each case for approval.
You will maintain continued contact during investigations with supervision, internal legal professionals, external medical professionals,government/regulatory
agencies, NICB, law enforcement, and outsourced vendors.
The Investigator will also be responsible for effectively carrying out investigations of alleged Fraud, Waste, and Abuse by medical providers, body shops, and others.
DUTIES
:
Conduct clinic inspections and examinations under oath
Conduct in-depth research and review of suspected fraudulent or abusive patterns to develop sufficient evidence to conclusively establish facts involving insureds, claimants, medical and auto body shop providers, or other entities.
Collect, utilize, and interpret data from a variety of computer-generated reports and other sources; thereby identifying and documenting questionable patterns related to medical modalities, procedures, and other practices which merit further investigation.
Maintains assigned investigation files, documents evidence, and prepares comprehensive investigation reports at the completion of each investigation.Assist in conducting comprehensive interviews:
medical and other providers aforementioned, insureds/claimants in the presence of their attorneys where applicable, and witnesses to obtain statements and information admissible under accepted rules of evidence in civil and criminal court proceedings.
Conducts special projectsinitiatives/investigations
referred by the House Counsel.
Establishes and maintains liaison with NICB, law enforcement officers, and others to obtain assistance in conducting, facilitating, and enhancing investigations.
Knowledgeable about all applicable insurance regulations, especially PIP regulations to ensure duties and assignments are carried out within the requirements of applicable law and office expectations.
Mentor and teach less experienced investigators, promoting teamwork and collaboration among the department. Encourage sharing of insights, experiences, and best practices within the SIU team.EDUCATION:
Associate or bachelor's degree in a related field preferred and/or
5
years of related work experience.
SKILLS &
EXPERIENCE:
Bilingual (English & Spanish)
Knowledge of current procedural terminology
Strong critical thinking and analytical skills with the ability to interpret data and trends.
In-depth knowledge of applicable fraud statutes, regulations, and industry best practices.
High degree of integrity as demonstrated by appropriate treatment of confidential information, and adherence to policies, rules, and regulations.
Effective communication and interpersonal skills, with the ability to build and maintain relationships with internal and external stakeholders.
Excellent organizational and project management abilities, with a keen eye for detail.
Expert knowledge of medical claims processing and investigations, a strong plus.
Experience in CPT codes and medical terminology is highly preferred.
Detail-oriented investigator with strong organizational and time management abilities
Analytical and interview skills:
ability to make deductions; logical and sequential thinker.
Computer literate; database and Internet proficient. Has knowledge of available resources (internal and external) to assist in investigations.
Ability to work with others in a team environment.
Please note that the salary range listed is an estimate provided by the job board and might not align with accurate information.
UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees.
All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Powered by JazzHRrGH3qPfZLp
#J-18808-Ljbffr
-
Investigator II
6 days ago
Tampa, Florida, United States Elevance Health Full timeJob Description Investigator IISchedule: 1-2 days per week in the office (Hybrid 1)Location:This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.The Investigator II position is responsible for the identification, investigation and development of cases against...
-
Investigator II
6 days ago
Tampa, Florida, United States United Auto Insurance Full timeJob Description Job DescriptionCOMPANY OVERVIEW:Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for SIU Investigator II based in Tampa, FL to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth...
-
Investigator II
7 days ago
Tampa, Florida, United States Elevance Health Full timeAnticipated End Date: Position Title: Investigator II Job Description: Investigator II Supporting the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the...
-
Security Officer II
7 days ago
Tampa, Florida, United States AdventHealth Full time**All the benefits and perks you need for you and your family:** Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the...
-
Traffic Signal Technician II
6 days ago
Tampa, Florida, United States TransCore Full timeJob Details Description TransCore (TCI), a subsidiary of ST Engineering, is seeking a Traffic Signal Technician II to join our team in Tampa, FL. Summary: Installs, modifies, maintains, and repairs all types of traffic signals, electrically or electronically controlled traffic signal installations, and intelligent transportation systems. Performs...
-
Security Officer II Nights
6 days ago
Tampa, Florida, United States AdventHealth Tampa Full timeAll the benefits and perks you need for you and your family: Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness...
-
Tampa, Florida, United States Liberty Mutual Insurance Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Tampa, Florida, United States Liberty Mutual Insurance Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Engineer II
6 days ago
Tampa, Florida, United States Abacus Full timeJob Description Hybrid roleKey notes:Transmission, knowledge of infrastructure of energy, remittance energy Date: Jan 20, 2023 Location: Tampa, Florida, US, 33619 Company: TECO pply now " Company: Tampa Electric Company State and City: Florida - Tampa Shift: 8 Hr. X 5 Days This position is responsible for the coordination and design of...
-
cyber security analyst ii
6 days ago
Tampa, Florida, United States Moffitt Cancer Center Full timeAt Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been...
-
Logistics Analyst II
3 weeks ago
Tampa, Florida, United States CAE Full timeRole and Responsibilities Summary The Logistics Analyst II will be required to create, review, analyze, assign, monitor, supervise and execute program plans to support contractual requirements in military simulation and training. Responsibilities for this position also include Reliability and Maintainability analysis, proposal development, estimating and...
-
Logistics Analyst II
4 weeks ago
Tampa, Florida, United States CAE Full timeRole and Responsibilities Summary The Logistics Analyst II will be required to create, review, analyze, assign, monitor, supervise and execute program plans to support contractual requirements in military simulation and training. Responsibilities for this position also include Reliability and Maintainability analysis, proposal development, estimating and...
-
Logistics Analyst II
3 weeks ago
Tampa, Florida, United States CAE Full timeAbout This Role Summary The Logistics Analyst II will be required to create, review, analyze, assign, monitor, supervise and execute program plans to support contractual requirements in military simulation and training. Responsibilities for this position also include Reliability and Maintainability analysis, proposal development, estimating and budget...
-
Logistics Analyst II
3 weeks ago
Tampa, Florida, United States CAE Full timeAbout This Role Summary The Logistics Analyst II will be required to create, review, analyze, assign, monitor, supervise and execute program plans to support contractual requirements in military simulation and training. Responsibilities for this position also include Reliability and Maintainability analysis, proposal development, estimating and budget...
-
Geomatics II
1 month ago
Tampa, Florida, United States CAE Full timeRole and Responsibilities THIS POSITION IS CONTINGENT UPON CONTRACT AWARDLocation TBD:St Louis, MONational Capital Region (Fort Belvoir, VA)Rivanna Station, Charlottesville, VATampa, FLWho We Are:CAE Vision: Our vision is to be the worldwide partner of choice in defense and security, civil aviation, and healthcare by revolutionizing our customers' training...
-
Geomatics II
3 weeks ago
Tampa, Florida, United States CAE Full timeRole and Responsibilities THIS POSITION IS CONTINGENT UPON CONTRACT AWARDLocation TBD:St Louis, MONational Capital Region (Fort Belvoir, VA)Rivanna Station, Charlottesville, VATampa, FLWho We Are:CAE Vision: Our vision is to be the worldwide partner of choice in defense and security, civil aviation, and healthcare by revolutionizing our customers' training...
-
PIP Adjuster I, II, or Sr
6 days ago
Tampa, Florida, United States National General Holdings Corporation Full timeFlorida PIP claims experience is preferred. This is a fully remote opportunity and the ideal candidate will be seated in the S/ E area of the US . Job Summary:Responsible for investigating and confirming the facts of loss for advanced automobile Adjuster, Customer Service, Insurance, Skills, Claims
-
Senior Environmental Engineer
6 days ago
Tampa, Florida, United States WSP Full timeThis Opportunity WSP is currently initiating a search for a Senior Environmental Engineer for our Tampa, FL office. Provides technical assistance and guidance for multi-site/phase environmental engineering work processes, due diligence, investigation, remediation, impact assessment, and environmental permitting projects. Develops processes and infrastructure...
-
Senior Acquisition Analyst
7 days ago
Tampa, Florida, United States Applied Research Solutions Full time**Description** Applied Research Solutions is seeking a full-time Senior Acquisition Analyst located at MacDill AFB, Florida. **Why Work with us?** Applied Research Solutions (ARS) is respected as a world-class provider of technically integrated solutions as we deliver premier talent and technology across our focused markets for unparalleled, continuous...
-
Engineer (II-IV)- Mechanical or Chemical
2 months ago
Tampa, Florida, United States TECO Energy Full timePOSITION CONCEPT: This position provides mechanical/process support for a coal/natural gas fired unit and a combined cycle unit. In addition to equipment ownership, this position provides technical support for operations and maintenance to support the safe, reliable and efficient operation of the Big Bend Power Station. DUTIES AND RESPONSIBILITIES:Within the...
