Field Investigator, SIU

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Bring your investigative expertise into a highly independent, field-based role that directly supports claims professionals in evaluating losses presented under Personal and Commercial policies. As a Field Investigator, you will manage assigned investigative tasks across Casualty, Physical Damage, No-Fault, Commercial/CCU, and Property claims. Assignments may also include Medical Provider, Underwriting, and Agency investigations , along with other investigative needs as they arise.

You will build productive working relationships with federal, state, and local law enforcement and participate in fraud - fighting organizations to strengthen industry knowledge and cooperation . This role requires frequent, timely, and professional in-person contact with customers and the public , may involve training other claims personnel , and may require work outside your assigned territory or regularly scheduled hours based on business needs and assigned tasks .

• Understand and comply with all Customer Service Standards, promptly recognize and meet mandated deadlines, and make contact within 24 hours on new assignments.
• Keep internal claims personnel informed of any delays in completing assigned tasks.
• Practice empathy and professionalism in every customer interaction, recognize individual circumstances, and respond promptly to customer needs.
• Conduct thorough, timely investigations of losses and report findings in accordance with company guidelines.
• Make in-person contact with insureds, passengers, adverse parties, and witnesses whenever possible.
• Ensure oral and written communications are timely, clear, concise, and empathetic.
• Demonstrate a commitment to teamwork, take initiative to assist others, properly use voicemail, and promptly return telephone messages.
• Cooperate with law enforcement and other carriers within established guidelines.
• Maintain a professional business appearance when working with customers and agents.

• Perform in-person investigations to determine whether fraud exists, evaluate coverage and liability, and identify potential contributors or co-defendants.
• Use appropriate investigative techniques, including meetings with all parties involved in an accident; recorded or written statements and Examinations Under Oath (EUOs); locus investigations, site analyses, and diagrams; scarring photographs;
  Event Data Recorder (EDR) downloads; witness canvasses; and dram shop investigations.
• Follow practices established in the Claim File Handling Procedures.
• Meet SIU productivity goals by maintaining a current diary, achieving and maintaining reporting standards, using available resources and reference tools, completing other assigned field work, and submitting timely and accurate expense reports.
• Identify, analyze, and recommend automation systems, procedures, or changes that could improve efficiency and productivity from an outside adjuster perspective.

• Maintain proficiency in Personal, Commercialpolicies, as well as relevant statutes and case decisions that affect claim adjustment or investigation.
• Identify potentially fraudulent claims and initiate and complete the investigation needed to determine whether fraud exists within the claim.
• Remain current on automobile design and damage repair.
• Operate a laptop and applicable software, with proficiency in Claims Operational Systems, social media research, and SIU software applications.
• Develop and maintain advanced interviewing skills and use established templates.
• Stay current on legal issues involving fraud and arson.
• Attend industry and law enforcement…