SIU Investigator
Core
Conduct field and desk investigations of insurance claims to analyze facts, evidence, and develop findings for fraud detection.
Role type
Senior IC Special Investigator (Insurance Fraud)
Builds
Fraud prevention outcomes and validated claim adjustments for P&C insurers
Domain
Insurance / Special Investigations
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Insurance claims investigation, Examinations Under Oath (EUO), law enforcement coordination, digital metadata analysis, social media investigation, casualty insurance principles, auto claims adjustment, state/federal agency liaison
Preferred skills
NICB Academy completion, Reid Interviewing and Interrogation, Fraud Claims Law Specialist (FCLS), Certified Insurance Fraud Investigator (CIFI), Certified Fraud Examiner (CFE)
Technologies
Microsoft Office, digital cameras, MP3 recorders, internet/social networking tools
Responsibilities
Investigate files using field, computer, and telephone techniques; maintain diary systems for assigned files; prepare reports for state fraud bureaus; coordinate with law enforcement and outside SIU contacts; report findings and make recommendations to management; attend training to meet regulatory requirements
Seniority
Mid-Senior, hands-on IC