Insurance Claim Investigator

4 weeks ago


Baltimore, Maryland, United States Allied Universal Full time

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

Enjoy comprehensive benefits for most full-time positions, including medical, dental, and vision coverage, life insurance, retirement plans, employee assistance programs, and exclusive perks.

Allied Universal is hiring a Special Investigations Unit (SIU) Investigator. The SIU Specialist must use their extensive knowledge of insurance policies and the components of fraud to determine if claims warrant reporting to the appropriate state agency for prosecution.

Key Responsibilities:

  • Independently investigate suspected fraudulent insurance claims for various coverage types, including workers' compensation, general liability, property, and casualty.
  • Acquire and gather information through data collection, interviews, research, and collaboration with other SIU entities, law enforcement, and state departments of insurance.
  • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed.
  • Run appropriate database indices if necessary and verify the accuracy of results found.
  • Develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.

Requirements:

  • Bachelor's degree in Criminal Justice or a related field.
  • High school diploma or higher with a minimum of five years of demonstrated professional law enforcement experience, with specific attention to investigations related to fraud.
  • Ability to be properly licensed as a Private Investigator as required by the state where work is completed.
  • Post-offer, must be able to successfully complete the Allied Universal Investigations training/orientation course.
  • Minimum of five years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims.
  • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
  • Proficient in utilizing laptop computers and cell phones.
  • Special Investigative Unit (SIU) Compliance knowledge.
  • Flexibility to work varied and irregular hours and days, including weekends and holidays.

Certifications:

  • Certified Fraud Investigator (CFE)
  • Certified Insurance Fraud Investigator (CIFI)
  • Fraud Claim Law Associate (FCLA)
  • Fraud Claim Law Specialist (FCLS)
  • Associate in Claims (AIC)

Benefits:

  • Medical, dental, vision, basic life, AD&D, and disability insurance
  • Seven paid holidays annually, sick days available where required by law
  • 08 hours biweekly for full-time positions

All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status, or relationship/association with a protected veteran, or any other basis or characteristic protected by law.



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