Job details
Job type full-time
Full job description
Overview: have you been waiting for an opportunity to become a siu investigator for an elite siu team?
We are searching for a property claims adjuster, with three years of property claims adjusting experience, who would like to work in a desk siu investigator role!
Summary: a siu investigator provides specialized investigative and advisory services, particularly when claim or underwriting fraud is suspected; develops innovative and long-term fraud detection and prevention programs; and, supports public entities and other industry groups in prosecution of insurance fraud.
Note: this position is eligible for remote work after training is completed, in accordance with upc’s telecommuting / remote work policyResponsibilities:
Demonstrates an ability to successfully investigate common fraud schemes and develops investigative strategies.
Reviews initial referrals, evaluates claim and underwriting information to identify appropriate resource and investigative strategies.
Develops and presents verbal and written investigative and management reports.
Serves as a resource to team membersAssists in the delivery of fraud awareness training initiatives throughout upc insurance.
Consistently manages workload to maximize capacityParticipates in planning and business meetings.
Acquires and applies a working knowledge of state laws and regulations pertaining to insurance fraud.
Identifies, establishes and cultivates external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection and prevention.
Supervisory responsibilities: none
Qualifications:
Three years of p&c claims adjusting experience.
Good analytical abilities to review, exercise judgment and evaluate information.
Very good understanding of the elements of intent, material misrepresentation, intentional acts, aggressive good faith, and jurisdictional immunity statutes.
Ability to work independently with self-initiative and limited direction.
Excellent communication skills; ability to obtain information from others and deliver information to others orally or in written form.
Excellent computer skills are needed due to multiple claim systems, investigative databases, and jurisdictional online reporting requirements.
Organization skills; business math skills; business telephone skills.
Ability to carry out detailed written or verbal instructions; ability to respond to requests effectively and efficientlyAbility to work effectively without supervision and direction and exhibit good common sense.
Education and/or experience:
College degree is not a prerequisite for this position; however, incumbents should possess such skills and knowledge as are normally gained in the successful completion of a 4-year college program or equivalent experience.
Insurance coursework (i.eIia, fcls, scla, cifi), is beneficial.
On-going continuing education as required by state regulations.
Knowledge of claims handling, state laws, compliance requirements and insurance regulations.
Minimum of six months prior experience in compliance, regulation, siu or an insurance-related field is beneficial.
Competencies:
Possess a solid command of the claims/siu policies and procedures; exhibits sound interpretation of polices & procedures in investigating and resolving claims.
Proficient in microsoft office (word, excel, outlook, powerpoint).
Must possess effective verbal and written communication skills.
Must perform well in high-energy, dynamic and team-oriented environments.
Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines.
Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization.
Demonstrate integrity with a professional environment.
Ability to adapt to new situations and learn quickly.
Other abilities/skills:
Desire to seek industry certifications as needed.
