SIU Desk Investigator

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A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.

The Desk Investigator conducts low to moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and injury claims. The Desk Investigator plans, prioritizes, and executes investigative assignments, including backgrounds, interviews, and Examinations Under Oath.

The Investigator is responsible for analytical review of suspicious claims utilizing various investigative methods and techniques. The investigator must evaluate relevant information essential in resolving suspicious and complex investigations. This position requires demonstrated effectiveness in the understanding and application of legal and claim principles. The Investigator should have a working understanding of coverage and or personal injury protection coverage.

• The primary role of the desk investigator will be to conduct Examinations Under Oath, and report the findings of same.
• Claims Investigations to include but not limited to: statements, document analysis/verification, damage analysis.
• Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch.
• Must ensure compliance with industry and company policies.
• Must understand regulatory / statutory requirements; develops and maintains knowledge of changes in law both at state and national levels.
• Properly utilizes our claims and other various systems.
• Attends industry meetings to identify industry trends.
• Completes individual weekly Investigator report to manager.
• Attends and participates in team meetings, round tables.
• Actively affiliates and maintains network of SIU, claims, law enforcement, attorney, and related contacts to ensure investigation methods are current and proper operating procedures are utilized.
• Responsible for meeting individual goals and objectives.
• Maintains consistent, fair, and diplomatic interactions with co-workers.
• Performs other duties as assigned by SIU Manager.