Allied Universal
Overview
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. We offer a comprehensive benefits package that may include medical, dental, and vision coverage, life insurance, a retirement plan, employee assistance programs, company discounts, and other perks, depending on the position and eligibility.
Job Description:
Allied Universal is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an insurance claim. The SIU Specialist must use their extensive knowledge of insurance policies and the components of fraud to determine if claims warrant reporting to the appropriate state agency for prosecution.
Responsibilities
Independently investigate suspected fraudulent insurance claims for a variety of coverages including workers' compensation, general liability, property and casualty, and disability
Acquire and gather information through data collection, interviews, research, and collaboration with other SIU entities, law enforcement, and state Departments of Insurance, guided by clients and case managers
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results
Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their SIU Supervisor
Qualifications (Must Have)
Must possess one or more of the following:
Bachelor's degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Ability to be properly licensed as a Private Investigator as required by the state where work is completed
Post offer, must successfully complete the Allied Universal Investigations training/orientation course
Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within the home state and designated regional area
Proficient in utilizing laptop computers and cell phones
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays
Preferred Qualifications (Nice to Have)
Military experience
Law enforcement
Insurance administration experience
Familiarity with California SIU regulations
One or more professional industry certifications:
Certified Fraud Investigator (CFE)
Certified Insurance Fraud Investigator (CIFI)
Fraud Claim Law Associate (FCLA)
Fraud Claim Law Specialist (FCLS)
Certified Protection Professional (CPP)
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
Benefits
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in the company 401(k) plan, subject to eligibility requirements
Seven paid holidays annually; sick days as required by law
Vacation time accrues at 3.08 hours biweekly for full-time positions; unused vacation is paid out where required by law
Closing / Equal Opportunity Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or any other basis protected by law. For more information: www.aus.com
If you have questions regarding Equal Employment Opportunity, or require an accommodation during recruitment or employment, please contact our local Human Resources department. To find an office near you, visit www.aus.com/offices.
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Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. We offer a comprehensive benefits package that may include medical, dental, and vision coverage, life insurance, a retirement plan, employee assistance programs, company discounts, and other perks, depending on the position and eligibility.
Job Description:
Allied Universal is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an insurance claim. The SIU Specialist must use their extensive knowledge of insurance policies and the components of fraud to determine if claims warrant reporting to the appropriate state agency for prosecution.
Responsibilities
Independently investigate suspected fraudulent insurance claims for a variety of coverages including workers' compensation, general liability, property and casualty, and disability
Acquire and gather information through data collection, interviews, research, and collaboration with other SIU entities, law enforcement, and state Departments of Insurance, guided by clients and case managers
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results
Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their SIU Supervisor
Qualifications (Must Have)
Must possess one or more of the following:
Bachelor's degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Ability to be properly licensed as a Private Investigator as required by the state where work is completed
Post offer, must successfully complete the Allied Universal Investigations training/orientation course
Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within the home state and designated regional area
Proficient in utilizing laptop computers and cell phones
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays
Preferred Qualifications (Nice to Have)
Military experience
Law enforcement
Insurance administration experience
Familiarity with California SIU regulations
One or more professional industry certifications:
Certified Fraud Investigator (CFE)
Certified Insurance Fraud Investigator (CIFI)
Fraud Claim Law Associate (FCLA)
Fraud Claim Law Specialist (FCLS)
Certified Protection Professional (CPP)
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
Benefits
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in the company 401(k) plan, subject to eligibility requirements
Seven paid holidays annually; sick days as required by law
Vacation time accrues at 3.08 hours biweekly for full-time positions; unused vacation is paid out where required by law
Closing / Equal Opportunity Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or any other basis protected by law. For more information: www.aus.com
If you have questions regarding Equal Employment Opportunity, or require an accommodation during recruitment or employment, please contact our local Human Resources department. To find an office near you, visit www.aus.com/offices.
#J-18808-Ljbffr