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Senior SIU Investigator - major case field role - Florida

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About the position

Responsibilities

  • Leads the execution of fraud prevention strategies and investigative operations.
  • Handles high exposure, high profile, and critical work assignments involving sophisticated fraud referrals.
  • Applies advanced knowledge of P&C insurance products and processes in investigations.
  • Processes large quantities of unstructured information to collect evidence of potential fraud.
  • Makes prompt decisions to identify potential complex fraud within defined guidelines.
  • Prepares and presents detailed investigative reports summarizing findings.
  • Serves as a subject matter authority and provides mentorship for team members.
  • Develops and maintains relationships with industry and law enforcement contacts.
  • Conveys compelling arguments to influence case dispositions effectively.
  • Handles CAT duty responsibilities as required.

Requirements

  • High School Diploma or General Equivalency Diploma.
  • 4 years of P&C SIU/Fraud investigation experience or 6 years of relevant fraud industry investigation experience.
  • Expert knowledge of fraud investigations and application of case law and state laws.
  • Skilled in taking sophisticated statements from multiple parties.
  • Ability to capture evidence and draw conclusions related to fraud.
  • Demonstrated ability to coordinate and prioritize workload and devise solutions.
  • Experience using computers and software for data analysis.
  • Knowledge of regulations, legal concepts, contracts, and medical terminology.
  • Experience in handling specialty/complex/litigated claims and trial preparation.

Nice-to-haves

  • 3+ years of experience conducting multi-claim major case investigations in multiple jurisdictions.
  • Experience applying various causes of action for potential affirmative fraud litigation.
  • Experience with investigations in multiple lines of business (e.g., auto, property, casualty).
  • Experience leading or mentoring other SIU investigators.
  • At least 5 years of SIU/investigative experience in P&C.

Benefits

  • Comprehensive medical, dental, and vision plans.
  • 401(k) and pension plans.
  • Life insurance coverage.
  • Parental benefits and adoption assistance.
  • Paid time off program with paid holidays and 16 paid volunteer hours.
  • Various wellness programs.
  • Career path planning and continuing education support.
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