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Michigan Csiu Investigator (Meemic/Hybrid)

Company

AAA The Auto Club Group
Address ,
Employment type FULL_TIME
Salary $62,281 - $84,000 a year
Expires 2023-10-21
Posted at 8 months ago
Job Description
It’s a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time

Exempt/Non Exempt:

Salary
:

Michigan CSIU Investigator (Memic/Hybrid) – The Auto Club Group
What you will do: (Primary Duties & Responsibilities)
The Auto Club Group is seeking prospective Claim Investigator who independently perform comprehensive assessment and investigation of personal lines claims for the potential of claim fraud.
In this position, you will have the opportunity to:
  • Obtain customer records such as utility bills and other documents pertinent to the investigation and when necessary, with the permission of the insured.
  • Arrange for and attend Examinations Under Oaths.
  • Promote fraud awareness and expertise through liaison, consulting, collaboration, and training of company personnel when assigned.
  • Understand and assess the implications of laws, licensing and practices related to those professions and their applicability to identifying and defending against policy and claim fraud.
  • Complete investigative activities that will help prove or disprove the presence of fraud.
  • Obtain legal counsel opinion when necessary.
  • Understand and comply with state laws, regulations, and case law impacting claim fraud and investigation activities.
  • Attend court hearings when necessary. Investigative activities may also involve hiring experts for specialized tasks such as home fire cause and origin analysis, surveillance, vehicle accident reconstruction, forensic accounting, and legal counsel, and managing those vendors through setting clear expectations, monitoring results, and reviewing and paying associated expenses.
  • Maintain a comprehensive understanding of claim fraud, including the fraud scenarios and methods by which insureds, claimants, service providers, and other parties may engage in opportunistic fraud, and the ways in which businesses, professionals, and organized crime groups, such as fraud rings, operate.
  • Research and investigate fraud collaborators, fraud rings, and potentially fraudulent service businesses and professionals such as medical providers, body shops, attorneys, or contractors.
  • Complete vehicle inspections, home inspections, or conduct site-visits.
  • Contact the claim representative assigned to the claim, work with them collaboratively, and keep them informed throughout the claim investigation. Review claims to identify the potential fraud scenarios that might be present, both for claim fraud and policy premium fraud.
  • Investigative activities may include identifying insureds, claimants, witnesses, service providers, and other parties and completing interviews or recorded statements.
  • Obtain and follow-up on public records, as well as police, fire and other official reports.
  • Complete link analysis to understand the relationships between people, places, and things.
  • Complete investigations thoroughly but also balance expense costs against the facts and exposure of the claim.
  • Prepare written investigative summaries, and report findings to the assigned claim handler, management, Underwriters, and others.
  • Maintain a thorough understanding of insurance policies and claim handling practices and procedures, as well as insurance policy eligibility and underwriting requirements.
  • Thoroughly document investigative activities, results, and evidence. Work collaboratively with law enforcement, other insurance carrier special investigation units, attorneys, and other parties.
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
With our powerful brand and the mentoring, we offer, you will find your position as a Claim Investigator can lead to a rewarding career at our growing organization.
How you will benefit:
Claim Investigators will earn a competitive salary of $62,281.44 to $84,000 annually with annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
  • Paid Holidays
  • PTO
  • Vision
  • 401k Match
  • Dental
  • Tuition Reimbursement
  • Medical
We’re looking for candidates who: (Required/Preferred Qualifications)
Required Qualifications (these are the minimum requirements to qualify)
Education (include minimum education and any licensing/certifications):
  • College level coursework in Business Administration, Insurance, Criminology or a related field or the equivalent in related work experience. Bachelor’s degree preferred.
  • Possession of a valid State Driver's License
Experience:
Work experience including one of the following:
  • Three years as an investigator in a claims special investigation unit that investigates fraud in Auto or Home personal lines property insurance claims.
  • Five years in law enforcement in roles such as detective, auto theft investigator, or arson investigator.
  • Five years of experience as a claim representative handling Auto or Home personal lines property insurance claims.
Knowledge of at least one of the following:
  • Auto and Home policy coverages, provisions, and eligibility and underwriting rules
  • Claim handling practices
  • Fraud investigation techniques and practices
  • Laws and regulations pertaining to insurance, claim handling, crime, and investigative activity
  • Claim fraud scenarios and indicators
Ability to perform the following:
  • Complete multiple complex tasks in a timely fashion and under deadline pressure while working on multiple cases simultaneously
  • Maintain and continually expend expert knowledge on claim fraud scenarios and indicators
  • Investigate claims, define appropriate evidence and obtain supportive documentation
  • Function effectively and independently in a personal computer environment utilizing word processing, spreadsheet and software systems
  • Impart fraud awareness training in a formal or informal setting to other AAA employees, community groups or related professional organizations
  • Safely operate a motor vehicle
  • Prepare and present effective written reports (a written sample may be required at time of interview)
  • Communicate effectively with others in a work environment and with the public (e.g. police department, vendors, contractors, attorneys, other insurance carrier special investigation units)
  • Process complex, time sensitive data and information from various sources
  • Engage and manage experts to complete specialized tasks
  • Present effective and persuasive testimony in civil and criminal litigation on a regular basis
  • Analyze policies and claims for relevant provisions and applicability to the claim facts
Preferred Qualifications
Education:
  • Completion of The Institutes Associates In Claims (AIC), Chartered Property Casualty Underwriter (CPCU), or other insurance coursework
  • Certified Insurance Fraud Investigator Certification
  • Bachelor’s degree in Business Administration, Insurance, Criminology or a related field or the equivalent in related work experience
  • Fraud Claim Law Specialist Certification
Experience:
  • Work experience in both claims handling as well as fraud investigation.
Knowledge and Skills:
  • Vehicle construction, repair estimation, repair, and body shop industry practices
  • Home construction, repair estimation, repair, and contractor industry practices
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit
www.aaa.com
Important Note:
ACG’s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.