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Siu Investigator Jobs
Company | Hagerty |
Address | United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance Carriers |
Expires | 2023-09-03 |
Posted at | 9 months ago |
The Claims team has an opportunity for a SIU Investigator. The Special Investigator investigates and identifies questionable and suspicious claims, communicating with claims personnel, insurance carriers, law enforcement, and government regulatory agencies to prevent and deter fraud.
- Conduct timely investigations including recorded statements and interviews
- Properly evaluate and complete state compliance referrals, as applicable, when questionable or suspicious activity is identified
- Assist the claim department and give guidance in the handling of questionable claims as needed
- Perform detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation
- Determine whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
- Maintain highest level of confidentiality and professionalism
- Determine whether vendor involvement is needed to include budget and management of the investigation
- Maintain active membership in professional organizations that provide SIU assistance and resources
- Assist in providing fraud awareness training to claim staff
- Provide Claim Adjuster with timely investigation results and document investigative findings
- Properly provide recommendations and decisions surrounding investigative efforts to include request for authorization for Examinations Under Oath to be conducted
- Accept assigned referral of questionable claims with an appropriate investigative action plan
- Meet claim audit scores target.
- Ensure accuracy, quality and timeliness of the evidence gathered during an investigation as well as compliance with all applicable laws, legal codes, and governing agencies
- Provide timely status updates
- Timely and clear documentation of Claim Files
- Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting when needed or required
- Ability to work independently and lead others
- Good organization and time management skills
- Ability to work with highly confidential information
- Must be detail oriented
- Demonstrate proficiencies with computer software
- Strong investigative skills necessary
- Demonstrate knowledge of tools and techniques needed for conducting fraud investigations
- Maintain high level of accuracy
- Familiarity of public company requirements, including Sarbanes Oxley and key regulations, if applicable.
- Maintains highest level of confidentiality and professionalism
- Must have ability to interact with clients, repair shops and appraisers
- Excellent verbal and written communication skills
- Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity
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