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SIU/Claims Case Manager

3 months ago


North Haven, United States Lemieux & Associates LLC Full time
Job DescriptionJob Description

Come grow with us Lemieux & Associates, a national leader in the investigative industry, is seeking an experienced SIU/Claims Case Manager in our operations department. This is a full-time, remote position based on the West Coast for the right individual. The owners are entrepreneurial, experienced investigators, who are dedicated professionals with a motivational management style with a proven ability to recruit, develop and direct highly successful teams that consistently excel.

Requirements:

This is a fully remote position. You must have a minimum of 3 years experience as an SIU/Claims Case Manager or 5 years experience as a SIU/Claims field investigator and be licensed as a Private Investigator by the state in which you reside (if applicable). If you are not licensed and do not have the requisite experience, please do not apply because we can't hire you. Please submit your resume and complete the questionnaire. If you do not complete the questionnaire, your resume will not be accepted.

Job Description SIU Case Manager Job Classification: Exempt

General Summary:

Reporting to the Senior SIU Case Manager, the SIU Case Manager position is an integral role tasked with providing technical and administrative oversight of an assigned group of field investigators and an Assistant Case Manager in order to ensure that the highest quality investigative product is delivered to our clients in a timely manner. This is accomplished through effective planning, organizing, monitoring, resource management and the ongoing training and day-to-day management of assigned staff. The SIU Case Manager must have a clear understanding of the company vision and be able to communicate and implement all business strategies in support of this vision. The SIU Case Manager is expected to consistently demonstrate effective leadership through proper role modeling and mentoring of assigned staff and must be able to work in a fast-paced environment with a significant amount of independence.


Essential Job Functions:

  1. Provides supervision and direction of investigative field staff and other direct reports to develop and maintain a highly motivated, quality-focused investigative team that is well equipped to complete investigations of insurance claims filed for a variety of coverage to include worker's compensation, general liability, property and casualty, disability, life and health care.
  2. Maintains a positive performance-oriented business unit that meets productivity and quality standards through effective training, performance management, monitoring of workloads and assignment of resources. Effectively prepares and communicates performance evaluations and development plans as needed and maintains appropriate personnel file documentation for all assigned staff. Models and supports the Lemieux & Associates employee culture and effectively balances employee and organizational needs.
  3. Conducts quality control reviews of investigative work, ensuring that client special handling instructions are followed and case objectives and due dates are met. Manages assigned cases until closing while maintaining accurate and well-organized case files.
  4. Communicates effectively with investigative field staff and clients regarding progress of assigned cases and makes appropriate recommendations for further initiatives. Maintains effective working relationships with coworkers and management and keeps management adequately informed about territory activity.
  5. Ensures confidentiality of all information obtained through investigative activities.
  6. Keeps current on professional knowledge and technical skills through continuing education courses, industry seminar/tradeshow attendance and/or membership in industry-related organizations.
  7. Testifies as necessary to the facts collected in any hearing or court of law.
  8. Other assignments and projects as dictated by business need or management direction.

Required Skills and Abilities:

  • Thorough knowledge of investigative techniques required to direct and manage advanced investigations, all variations of SIU/Claims assignments, written/recorded statements, AOE/COE investigations, scene investigations, fire claims, property theft claims, vehicle theft claims, permissible use claims, background investigations, and locates
  • Exceptional written and verbal communication skills and interpersonal skills
  • Strong organizational and time management skills and proven ability to effectively manage and schedule work assignments and utilize available resources
  • Ability to creatively solve problems and identify opportunities
  • Able to deliver and accept feedback in a positive manner
  • Track record of effectively building and managing teams
  • Strong working knowledge of Microsoft Office, Internet Explorer and Adobe Acrobat as well as case management software

Qualifications:

  • Bachelor's degree in criminal justice or a related field preferred but not required
  • Minimum of five years of experience conducting complex insurance investigations. (Four additional years of sustained performance as an investigator may be substituted for education requirement.)
  • At least three years of supervisory experience
  • Private investigator's license or eligibility for licensing in appropriate state(s)
  • Ability to travel periodically as needed

Physical Demands and Work Environment:

While performing the duties of this job, the employee is generally in an office setting. The employee is regularly required to sit for long periods and operate a computer for long periods. The employee communicates on a regular basis with supervisors, clients and staff via telephone, video conference and email. The employee may be required to travel both short and long distances by car or airplane as business needs dictate.