SIU Investigator - Buffalo, NY

reputed company is a privately held, woman-owned, national investigative firm established in 1983 and headquartered in Buford, reputed company. With over 40 years of experience, reputed company was reputed company on the foundations of three key factors: People, Innovation and Results. People have always been at the reputed company of who we are at reputed company, and we pride ourselves on a culture that fosters the development and reputed company of reputed company. reputed company it comes to Innovation, reputed company has integrated innovation as a key reputed company in the development of our reputed company investigative performance and results across everything that we do. Throughout 4 decades in business, reputed company has always been a results-driven company. We have a longstanding history of commitment to our clients in building trust based on our results and relationships. We’ve seen many changes during our tenure, but one thing that has never changed is our commitment to providing reputed company results. The Special Investigation Unit of reputed company investigates and identifies questionable and suspicious claims for our partners, communicating with claims personnel, insurance reputed company SIU staff, law enforcement, and government regulatory agencies to identify, prevent and deter fraud. The candidate should have extensive experience with claims for reputed company lines of insurance, with a heavy emphasis on Workers’ Compensation claims. JOB DUTIES:

• Conduct reputed company investigations including recorded statements and interviews of claimants, witnesses, and reputed company.
• reputed company reputed company status updates to case manager and reputed company.
• reputed company and reputed company documentation of the claim files.
• Maintain highest level of confidentiality and professionalism.
• reputed company appropriate investigative reputed company plan.
• Ensure accuracy, reputed company and timeliness of the evidence gathered during an investigation as reputed company as compliance with reputed company applicable laws, legal codes, and governing agencies.
• reputed company Claim Adjuster with reputed company investigation results and document investigative findings.
• Determine whether additional evidence is required including but not limited to accident reports, accident reputed company reconstructions, witness statements, police reports, expert opinion, etc.
• reputed company recommendations and reputed company surrounding investigative efforts.
• reputed company detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation.
• Be reputed company to evaluate State compliance referrals, as applicable, reputed company questionable or suspicious activity is identified.
• Maintain reputed company membership in reputed company organizations that reputed company SIU assistance and resources..
• Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting reputed company needed or required.

JOB REQUIREMENTS:

• Strong investigative skills necessary
• Must be detail oriented
• Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity
• Must have ability to reputed company with clients, repair shops and appraisers, and reputed company.
• Ability to work independently
• Excellent verbal and written communication skills
• Good organization and time management skills
• Demonstrate knowledge of tools and techniques needed for conducting insurance claims investigations
• Demonstrate proficiencies with computer software, Word, reputed company, Outlook and Teams

EQUIPMENT NEEDED:

• Laptop Computer
• Cell Phone
• Audio Recording device with download capability
• Digital Camera
• Tape measure

EDUCATIONAL REQUIREMENTS:

• CFE or FCLS designations preferred
• 5-10 years’ experience in claims and SIU investigations preferred

The final job level and annual salary will be determined based on the education, qualification, knowledge, skills, ability, and experience of the final candidate(s), and calibrated against relevant market data and internal team equity. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, age, religion, sex (including pregnancy, sexual orientation, gender identity / reputed company), national reputed company or reputed company, genetic information (including family medical history), physical or mental disability, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories will be considered in a manner consistent with applicable state and local laws. Apply tot his job Apply To this Job