SIU Investigator

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🔥 0 minutes ago

❄️ Minnesota – Remote

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💵 $30 - $40 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

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Logo of Delta Group

Delta Group

501 - 1000 employees

Founded 1983

💼 Consulting

🏥 Healthcare

🛡️ Insurance

Consulting • Healthcare • Insurance

Delta Group is a company specializing in surveillance and investigation services. They offer a wide range of solutions including their original eRemote® surveillance cameras, which provide high-definition, continuous coverage using unmanned cameras. Their services extend to background investigations, social media monitoring, and comprehensive SIU (Special Investigations Unit) services such as recorded statements, interviews, and scene investigations. Additionally, Delta Group provides medical canvass investigations to uncover detailed medical histories. Operating nationwide, they serve clients with state-of-the-art technology and experienced investigators.

📋 Description

• Conduct timely investigations, including recorded statements and interviews of claimants, witnesses, and employers • Provide timely status updates to the case manager and client • Document claim files clearly, accurately, and promptly • Maintain confidentiality and professionalism • Develop appropriate investigative action plans • Ensure accuracy, quality, and timeliness of evidence and compliance with applicable laws, legal codes, and governing agencies • Provide claim adjusters with investigation results and document findings • Determine whether additional evidence is required, including accident reports, scene reconstructions, witness statements, police reports, and expert opinions • Provide recommendations and decisions regarding investigative efforts • Perform detailed database queries and analyze and organize critical SIU investigation data • Evaluate state compliance referrals when questionable or suspicious activity is identified • Maintain active membership in professional organizations providing SIU assistance and resources • Establish and maintain relationships with law enforcement, government regulatory agencies, and insurance industry personnel

🎯 Requirements

• Extensive experience with claims across insurance lines, especially Workers’ Compensation claims • Strong investigative skills • Detail-oriented • Ability to recognize patterns of inconsistencies linked to fraudulent activity • Ability to interact with clients, repair shops, appraisers, and employers • Ability to work independently • Excellent verbal and written communication skills • Good organization and time-management skills • Knowledge of tools and techniques for insurance claims investigations • Proficiency with Word, Excel, Outlook, and Teams • Laptop computer, cell phone, audio recording device with download capability, digital camera, and tape measure • CFE or FCLS designations preferred • 5–10 years of claims and SIU investigation experience preferred

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