Insurance Fraud Investigator
5 days ago
Allied Universal Compliance and Investigations is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators.
We are committed to innovation and excellence, making a significant impact in the insurance industry. If you're looking to grow with the best, explore a career with us and make a difference.
Estimated Salary: $32 - $38 per hour
Job Description
The Special Investigations Unit (SIU) Investigator will investigate claims with red flags that suggest fraudulent behavior related to an insurance claim. 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.
Responsibilities:
- Independently investigate suspected fraudulent insurance claims for various coverage types.
- 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.
- Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct.
Required Skills and Qualifications:
- Must possess one or more of the following: Bachelor's degree in Criminal Justice or high school diploma with at least 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.
Benefits:
- Medical, dental, vision, basic life, AD&D, and disability insurance.
- Enrollment in our company's 401(k) plan, subject to eligibility requirements.
- Seven paid holidays annually, sick days available where required by law.
- Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full-time positions.
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