Special Investigations Unit Investigator (Remote)

We are seeking an experienced Special Investigations Unit (SIU) Investigator to join our team. You will conduct comprehensive investigations involving suspected fraud, misrepresentation, claim irregularities, and other potentially questionable activity.

Responsibilities:

• Conduct SIU investigations involving suspected fraud, misrepresentation, and claim irregularities
• Investigate insurance claims by researching claimant activity, employment history, business interests, and prior claims
• Conduct detailed background investigations using public records, proprietary databases, and other approved resources
• Handle investigations across multiple lines of business, including Workers’ Compensation, General Liability, Auto, and Property
• Review claim files and develop effective investigative strategies
• Identify investigative leads, inconsistencies, and fraud indicators
• Conduct interviews and obtain recorded or written statements
• Coordinate investigative activities with stakeholders
• Prepare clear and accurate investigative reports
• Maintain accurate case documentation and ensure investigations are completed in accordance with regulations

Skills, Knowledge & Expertise:

• Required: Workers’ Compensation investigative experience
• Required: Prior experience conducting SIU, insurance fraud, claims, or related investigations
• Demonstrated experience conducting background investigations and researching public records
• Strong interviewing, investigative research, analytical, and report-writing skills
• Ability to analyze claim documentation and recognize inconsistencies and potential fraud indicators
• Strong organizational and time-management skills
• Excellent written and verbal communication skills
• Ability to work independently in a remote environment
• Proficiency with Microsoft Office and familiarity with claims management systems

Benefits:

• Medical, dental, and vision plans
• 401(k) plan with employer matching
• Time-off policies, including Discretionary Time Off and Paid Time Off
• Paid holidays
• Life insurance and short-term and long-term disability coverage