SIU Investigator
$62,400–$79,040 year
On-siteFresno, California, United States
Job Summary
Independently investigate suspected fraudulent insurance claims across workers' compensation, general liability, property, casualty, and disability coverages. Acquire information through data collection, interviews, research, and collaboration with clients, case managers, law enforcement, and state Departments of Insurance. Create detailed documentation for investigations, file reviews, and audits while producing professional reports and memos. Run database indices to verify accuracy and develop strategic plans to achieve assignment objectives. Ensure thorough communication with clients and supervisors throughout the process.
Required Qualifications
- Valid driver's license with at least one year of driving experience
- Bachelor's degree in Criminal Justice
- High School diploma or higher with a minimum of five (5) 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 (5) 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
- Proficient in utilizing laptop computers and cell phones
- Special Investigative Unit (SIU) Compliance knowledge
- Ability to type 40+ words per minute with minimum error
- Flexibility to work varied and irregular hours and days including weekends and holidays
Desired Qualifications
- Military experience
- Law enforcement
- Insurance administration experience
- Familiarity with California SIU regulations
- Certified Fraud Investigator (CFE)
- Certified Insurance Fraud Investigator (CIFI)
- Fraud Claim Law Associate (FCLA)
- Fraud Claim Law Specialist (FCLS)
- Certified Protection Professional (CPP)
- Associate in Claims (AIC)
- Chartered Property Casualty Underwriter (CPCU)
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