SIU Investigator
On-siteMiami, Florida, United States
Miami, Florida, United StatesOn-siteFull TimeLarge
Full TimeLarge
Job Summary
Conduct field and desk investigations of insurance claims referred to the Special Investigative Unit, analyzing facts and evidence while coordinating with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and law enforcement agencies. Perform Examinations Under Oath, maintain a diary system on assigned files, and prepare necessary reports for state fraud bureaus. Acquire and maintain current knowledge of jurisdictional laws and develop contacts with other investigative organizations. Work remotely from residence in Miami-Dade County and surrounding areas, with the ability to travel.
Required Qualifications
- College Degree or equivalent work experience
- Three years of insurance claims investigation experience or professional investigation experience with law enforcement agencies
- Five years of professional investigation experience involving economic or insurance related matters
- an authorized medical professional to evaluate medical related claims
- a working knowledge of Digital photo and document metadata
- experience with using the internet and social networking for investigative purposes
- knowledge of the principles of casualty insurance
- knowledge of the auto casualty claims adjustment process
- Investigative and legal expertise
- excellent communication skills
- thorough working knowledge of Microsoft office applications
- thorough knowledge of the workings of related state and federal agencies
- oral and written communications skills
- a valid driver's license
- a clean driving record
- Applicants must have the ability to travel
Desired Qualifications
- Completion of the NICB Basic and/or Advanced Academies
- Completion of the Reid Interviewing and Interrogation Courses
- Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations
- Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations
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