Principal Claims Adjuster, SIU

Job Description

plicants must be a resident and work from one of the following states: WA, OR, or , with occasional travel to our headquarters, located in Seattle, WA.

At PEMCO, we’re all about people – our customers, our employees, and the community. We’re a mutual insurance company owned by our Northwest policyholders. We provide auto, home, renters, and boat coverage.

Ap licants must be a resident and work from one of the following states: WA, OR, or , with occasional travel to our headquarters, located in Seattle, WA.

At PEMCO, we’re all about people – our customers, our employees, and the community. We’re a mutual insurance company owned by our Northwest policyholders. We provide auto, home, renters, and boat coverage. Recognized by Forbes as one of America’s Best Insurance Companies in both Auto and Home for 2026, based on customer survey feedback, and by Newsweek as one of America’s Greatest Midsize Workplaces 2025.

We are consistently recognized for our outstanding customer service, employee expertise, community partnerships, and social impact programs. All of which makes PEMCO a great place to work! Our social impact programs motivate high achievement by youth in education; build stronger and greener communities; and increase safety at home, on the road, and ’re committed to diversity, equity, inclusion, and belonging, and to fostering an inspiring and inclusive workplace.

These efforts create and cultivate an environment that builds fairness and understanding, encourages collaboration and flexibility, and celebrates all the ways in which we’re different and the same – enabling all individuals to achieve their full potential.

PEMCO has an opportunity for a Principal Claims Adjuster, SIU to join our community. This position is responsible for the investigation of claims that are referred to the Special Investigations Unit.

• Represent the company and actively participate in industry association meetings with SIU professionals, insurance industry partners, and law enforcement agencies.
• Serve as a subject matter expert on fraud detection, investigation strategies, and SIU best practices; provide training, coaching, and consultation to claims personnel and business partners.
• Provide fraud awareness training and investigative guidance to internal stakeholders; serve as a resource to claims personnel and company leadership.
• Proactively partner with claims personnel to identify potential fraud indicators, generate quality SIU referrals, and share emerging fraud trends and investigative insights.
• Travel as needed to support investigations, industry engagement, training initiatives, catastrophe response, and other business needs.
• Occasional CAT duty as needed.
• Review and evaluate incoming referrals to determine investigative needs, assignment priorities, and appropriate SIU involvement.
• Ensure claim referrals are proactively handled in accordance with all applicable statutes, regulations, policies, procedures, and compliance requirements; prepare annual fraud reports for regulatory agencies.
• Direct SIU investigations, including conducting examinations under oath (EUOs) when appropriate.
• Develop and execute investigative strategies for referred claims; conduct in-depth interviews of policyholders, claimants, witnesses, and other involved parties.
• Conduct thorough investigations in adherence with SIU policies, procedures, regulatory requirements, and industry best practices; gather and analyze evidence, develop investigative findings, provide recommendations, and engage internal or external experts as appropriate.
• Demonstrate behaviors consistent with PEMCO's values, Code of Ethics, and commitment to exceptional customer and employee experiences.
• Other duties as assigned.

• B.A. or B.S. degree or equivalent work experience (business or related field)
• 10 years of progressively responsible experience in insurance claims, investigations, SIU operations, fraud detection, law enforcement, or a related investigative field required.
• Experience handling multiple lines of insurance claims, including both personal auto and…