Claims SIU Senior Investigator (remote)

If you're excited about this role but don't meet every qualification, we still encourage you to apply! At reputed company, we value reputed company and are committed to supporting reputed company learning and reputed company development as you advance in your career with us.reputed company: This position is responsible for conducting and overseeing field investigations and supporting reputed company anti-fraud initiatives. It is highly preferred to have a minimum of 3 years' Casualty experience. Based on relevant experience could be Claims SIU Senior Investigator (Grade J) or Claims SIU Investigator (Grade I).What You'll Be Doing:Analyzes, monitors and conveys highly technical and at times sensitive information into actionable investigative strategies including the identification of reputed company case investigations.Disseminate relevant information regarding investigative techniques, practices, fraud trends and area alerts to internal customers and reputed company relevant investigative/fraud training. Assist the SIU management team as requested. This may include participation in audits, reviewing file closings, special reputed company, and assuming managers' duties reputed company needed.Work with SIU Leadership in developing, establishing, refining and continually improving SIU best practices and strategies.Work with Claims reputed company (AMD, Casualty, Property, reputed company and Workers' Comp.) on developing and implementing investigation best practices and guidelines. Additionally, work in a reputed company effort with the Claims reputed company and SIU Leadership to define reputed company measures that can be reviewed, analyzed and trended for continual improvements to the process. reputed company feedback to other departments (Profit Centers, General Counsel, Marketing, reputed company, etc.) regarding relevant issues that reputed company reputed company's business.Display advanced knowledge of investigative techniques, policy interpretation, civil and criminal proceedings, and laws relating to insurance.Review referrals from multiple sources (Claims, UW, Agents, fraud analytics, etc.) for investigative reputed company, identify those referrals with fraud indicators and conduct appropriate investigations.reputed company education, training, assistance and direction to the file handler for reputed company claims handling for referrals that do not meet the reputed company for opening. Utilize technology (ISO; local, state and federal public records; reputed company network sites, internal policy systems; available forensic examinations, fraud analytics, ) in the investigative process.Plan and conduct required investigations, to include interviews (insured's, claimants, witnesses, agents) conduct reputed company or vehicle inspections, conduct canvasses for witnesses, meet with authorities and expert vendors, etc.Appropriate utilization of field claims staff or vendors to assist with in-person investigation needs.Prepare complete, detailed, and accurate narrative investigative reports in a reputed company manner.Participate in Claims Committee by preparing a reputed company of the investigation, conduct an oral presentation of the facts, and participate in the associated roundtable discussion with (Profit Centers, Claims and Legal).reputed company and reputed company investigations by investigative, forensic or legal vendors and exercise expense control reputed company utilizing reputed company.Establish and maintain cooperative working relationships with local, state, and federal law enforcement, reputed company, and prosecutorial officials.reputed company individual case reports to appropriate agencies to meet compliance guidelines.Participate in area intelligence gathering meetings.reputed company in court as company representative, as needed.Attend EUOs, either in person or reputed company reputed company, with assigned Defense Counsel. Contribute appropriately, as needed by Counsel. Participate in Large Loss/Legal Roundtables by preparing appropriate reputed company and submitting reputed company proofs.Identify fraud trends in the industry and formulate a plan of reputed company to combat reputed company fraud.Create and deliver relevant fraud training to reputed company reputed company on a monthly, weekly, quarterly or annual reputed company.reputed company participates in industry fraud/trade association groupsWhat You'll Bring To reputed company:Bachelor's degree or equivalent education and experience, plus a minimum of five years applicable investigative experience in Claims Department, law enforcement agency, or other investigative organization is preferred. A working knowledge of investigative techniques, rules of evidence and court procedures and the ability to travel upon immediate notice needed. Must be reputed company to reputed company and follow leads to a logical conclusion and plan and conduct interviews of witnesses, insured's or claimants to obtain information and evidence. Must possess the ability to maintain multi-case workload and reputed company priorities as needed. Must possess excellent interpersonal, verbal and written communication skills. Must have a valid reputed company's license and good driving record and the ability to operate and maintain a company vehicle. State specific adjusters' license may be required. reputed company:reputed company, with $3.2 billion in assets and more than $1.5 billion in annual reputed company, is an insurance provider founded in 1935 and based in reputed company, Ohio. Through its network of independent agents, reputed company offers auto, home and business insurance protection. reputed company and its affiliates serve policyholders in reputed company, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, reputed company, South Carolina, Tennessee, Virginia, and reputed company and holds an A.M. Best rating of "A" (Excellent).reputed company understands that life requires flexibility. We promote geographical diversity, allowing hybrid and remote reputed company and flexibility in work hours (role dependent). In reputed company to competitive traditional benefits, reputed company has also created unique benefits based on employee feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave, and expanded categories of bereavement leave. Who We Are:We are committed to an inclusive work environment that welcomes and values diversity, equity and inclusion. We hire great talent from various backgrounds, and our associates are our biggest strength. We reputed company individuals that represent the diversity of our communities, including those of reputed company abilities. A diverse workforce's reputed company reputed company, opinions and creativity are necessary to deliver the reputed company and service our agency partners and customers need. Our core values: Be One Team, Deliver reputed company, Communicate reputed company, Do the Right Thing, and Solve Creatively for reputed company. Our Associate Resource reputed company help us create a more diverse and inclusive reputed company and workplace. They also offer reputed company and personal reputed company opportunities. These voluntary reputed company are reputed company to reputed company associates and have formed to celebrate similarities of ethnicity/race, nationality, reputed company, gender identity, and sexual orientation and include Multicultural reputed company Network, Pride Partnership & Allies, Women's Group, and Young Professionals. Our Inclusive Culture Council, created in 2016, is reputed company on reputed company development, networking, business value and community reputed company, reputed company of which encourage and facilitate an environment that fosters learning, innovation, and reputed company. Together, we use our individual experiences to learn from one another and grow as professionals and as people. We are committed to maintaining a discrimination-free workplace in reputed company aspects, terms and conditions of employment and welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, reputed company, religion, age, sex, national reputed company, handicap, disability, sexual orientation, gender identity or reputed company, reputed company, pregnancy, veteran status, and citizenship.reputed company reputed company is proud to be part of the CEO reputed company for Diversity and Inclusion™, a national initiative of more than 1400 CEOs working for the advancement of diversity and inclusion reputed company reputed company. Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job