Claims investigator [h1.location_city]
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Claims investigator • hampton va
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SIU Investigator
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Special Investigations Unit (Siu) Investigator
Advance your career in insurance claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services 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. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Allied Universal is hiring a Special Investigations Unit (SIU) Investigator.
Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation 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 a variety of coverage to include workers' compensation, general liability, property and casualty, and disability.
- Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of 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.
- Run appropriate database indices if necessary and verify the accuracy of results found.
- Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor.
Qualifications (Must Have) :
Preferred Qualifications (Nice to Have) :
Benefits :
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race / ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship / association with a protected veteran, or any other basis or characteristic protected by law.