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Insurance Fraud Investigator
2 months ago
AmTrust Financial Services, Inc. is seeking a highly skilled and detail-oriented SIU Investigator to join our team. As an SIU Investigator, you will play a critical role in identifying and investigating suspicious insurance claims to prevent and detect fraud.
Key Responsibilities:- Evaluate investigative referrals to determine if suspicious elements are present and justify an SIU investigation.
- Collaborate closely with underwriting, audit, and claims personnel to evaluate all aspects of a referral and determine an investigative path, and documents investigative plan.
- Conduct investigative/fraud-related training to meet regulatory requirements or other related topics.
- Track and document all investigative activities and results.
- Conduct in-depth investigative searches via designated tools, and conduct telephonic investigations to develop facts in all cases.
- Provide professional, timely, and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues pertaining to SIU and investigative referrals.
- Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud.
- Monitor completed investigations for impacts and prosecutorial judgements.
- Keep current with market trends and demands.
- An Associate's or Bachelor's degree in criminal justice or a related field from an accredited college or university OR 5+ years of insurance claims investigation experience OR professional investigation experience with law enforcement agencies OR 7+ years of professional investigation experience.
- Demonstrated experience with commercial casualty, property, automobile, and workers' compensation insurance products.
- Demonstrated ability to interpret and analyze large amounts of data and make an informed, calculated decisions.
- Respect for confidential information.
- Excellent organizational, leadership, communication, and time management skills.
AmTrust Financial Services, Inc. offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain, and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate, and how we see our future.
