SIU Investigator Senior Consultant II - Remote

Overview

The SIU Investigator Senior Consultant II is responsible for investigating and analyzing complex insurance claims referred to the special investigation unit for potential fraud, focusing on significant losses and extra-contractual liability.

In Short

• Conduct thorough investigations of complex, multi-discipline claims.
• Utilize analytic tools to identify claims for investigation.
• Summarize documents and maintain detailed claim file notes.
• Manage complex customer communications and issues.
• Conduct site inspections and online data searches.
• Oversee vendor relationships and performance.
• Make claim decisions based on investigations.
• Review investigations for fraud validation.
• Requires a Bachelor’s degree and 3+ years of experience.
• Field-based role in the Orlando metropolitan area.

Requirements

• 4 year Bachelor’s Degree (Preferred).
• 3 or more years of experience in a related field (Preferred).
• Strong analytical and investigative skills.
• Ability to manage complex claims and customer interactions.
• Experience with fraud detection and insurance practices.
• Excellent communication and documentation skills.
• Willingness to conduct field investigations.
• Proficient in utilizing technology for investigations.
• Ability to work independently in a field-based role.
• Knowledge of insurance regulations and compliance.

Benefits

• Equal Opportunity employer.
• Innovative work environment.
• Opportunities for professional growth.
• Comprehensive benefits package.
• Supportive company culture.
• Flexible work arrangements.
• Commitment to serving clients and communities.
• Access to training and development resources.
• Incentive pay based on performance.
• Employee assistance programs.