SIU Major Case Investigator, Commercial Claims - Remote

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SIU Major Case Investigator, Commercial Claims - Remote

R7624 SIU Major Case Investigator, Commercial Claims - Remote (Open)

Colorado - Home Teleworkers

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We're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today’s way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We’re looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company.

We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance.

We are actively hiring for an SIU Major Case Investigator, Commercial Claims - Remote

The SIU Major Case Investigator is accountable for identifying, investigating, and mitigating sophisticated fraud schemes, particularly those involving fraud rings in the TNC space. Leveraging a deep understanding of emerging technologies and analytical techniques, the role will work to combat fraud effectively within the Mobilitas ecosystem.

• Focusing on organized fraud rings, develops and implements strategies to detect and prevent fraud activities, focusing on attorney-provider networks.
• Collaborate with internal technology teams to design and refine fraud detection tools and methodology.
• Conduct detailed investigations into suspected fraud cases and compile findings into reports for further action within Mobilitas and external agencies.
• Make key decisions regarding the structuring and conduction of major case investigations involving multiple claims and/or organized fraud ring activity.
• Stay updated with the latest trends in fraud schemes and countermeasures.
• Provide training and guidance to other team members on best practices for fraud detection.
• Work closely with regulatory and law enforcement agencies to stay up to date on all fraud detection measures.
• Complies with local, state, and federal statutes regarding proper, timely, and ethical insurance investigations.
• Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
• Serves as the subject matter expert (liaison) on fraud to business and industry partners.
• Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
• At times may also handle non-ring investigations as needed.

• 7-10 years of experience handling complex claims, preferably in the commercial auto environment.
• High School Diploma/GED or 7 years of relevant work experience in claims and fraud investigation.
• Depending on assignment, may be required to obtain and maintain Adjuster's license (state‑specific).
• Strong analytical and problem‑solving skills.
• Proficient in using advanced data analytics tools and software with industry specific technology (i.e. Lexis Nexus,…