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JOB POSTINGS

Posted 11-6-2023

SIU Special Investigator - Assurant

https://assurant.wd1.myworkdayjobs.com/Assurant_Careers/job/United-States-Virtual/SIU-Special-Investigator_R-101568

 

The Special Investigator protects the assets of the organization by avoiding the payment of fraudulent claims in accordance with the applicable law and policy provisions. Gather facts of the loss without exposing the company to bad faith damages.


What will be my duties and responsibilities in this job? 

  • Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision.

  • Conducts complex recorded interviews to validate a claim or identify persons or organizations that are involved in suspicious related activities.

  • Maintains assigned claims files in confidential manner and ensures that all relevant facts pertaining to the files are documented in the appropriate claims handling system.

  • Ensures that assigned cases are investigated and reported back to the requesting party in adherence to Special Investigation Unit Best Practice. Concludes investigation and prepares investigative reports in adherence to Special Investigation Unit Best Practices.

  • Initiates referrals to State Insurance Department, Fraud bureaus and NICB when a suspicious or fraudulent activity has been identified.

  • Maintains investigative databases.

  • Assist all Assurant subsidiaries and accounts with investigations. Works with state fraud bureaus, law enforcement agencies and other special investigative units in combating insurance fraud with direction from Special Investigator II and Senior Investigator.

  • Analyzes results of investigations to determine course of action documents activities of claims handling practices.

  • Requests, prepares, documents, and may conduct examinations under oath and/or sworn statements including those involving attorney representation.

  • Conducts thorough searches using investigative databases, internal resources, internet resources, and public records to locate parties and collect evidence to determine if potential fraud exists.

  • Obtains, evaluates, and summarizes law enforcement reports, credit reports, medical documentation, and affidavits in relation to loss including documentation from required parties in accordance with state and federal regulations.

  • Present investigative findings through written reports and recommends whether to take further actions.

  • Testifies at depositions, hearings, and trials.

  • Develops and maintains a rapport with local information networks to include law enforcement, vendors, and industry experts.

  • Conducts field investigations as needed

 
What are the requirements needed for this position? 

  • Bachelor’s Degree in Criminal Justice, Business or Criminal Justice Degree in Basic Law Enforcement from accredited college or minimum of five years in a Special Investigation Unit/Private Investigation experience and Insurance Claims experience.

  • Working knowledge of special investigative techniques. Effective communicator with analytical skills. Strong knowledge of researching databases is required.

  • Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.

  • Demonstrated ability to manage relationships with both internal and external customers.

  • Demonstrated ability to work effectively independently and within a collaborative team-oriented environment using sound judgment in decision-making.

  • Excellent communication skills both oral and written skills with strong analytical skills to investigate insurance fraud.

  • Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and claims related software programs.

  • Ability to work in a fast-paced environment.

  • Handle high volume of investigations and remain timely on status reports.

 

#LIRemote

 

Pay Range:

$52,500.00 - $87,900.00

 

Any posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position.

 

 

Helping People Thrive in a Connected World
Connect with us. Bring us your best work and your brightest ideas. And we’ll bring you a place where you can thrive. Learn more at jobs.assurant.com.

 

For U.S. benefit information, visit myassurantbenefits.com. For benefit information outside the U.S., please speak with your recruiter.

 

What’s the culture like at Assurant?
Our unique culture is a big reason why talented people choose Assurant. Named a Best/Great Place to Work in 13 countries and awarded the Fortune America’s Most Innovative Companies recognition in 2023, we bring together top talent around the world. Although we have a wide variety of skills and experiences, we share common characteristics that are uniquely Assurant. A passion for service. An ability to innovate in practical ways. And a willingness to take chances. We call our culture The Assurant Way.

 

Company Overview
Assurant is a leading global business services company that supports, protects, and connects major consumer purchases. A Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world’s leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products.

 

Equal Opportunity Statement
Assurant is an Equal Employment Opportunity employer and does not use or consider race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law in employment decisions.

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