SIU Investigator II

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $59.5k - $100.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EMC Insurance Companies

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1911

🛡️ Insurance

Insurance

EMC Insurance Companies is a mutual insurance firm providing specialized business insurance solutions. They focus on commercial property insurance, liability insurance, workers' compensation, and business owners' policies. With a strong emphasis on personalized service, EMC collaborates closely with local agents to deliver comprehensive and tailored coverage. EMC is committed to understanding the unique challenges faced by its policyholders, offering risk management and loss control resources to help businesses safeguard their assets. Known for their dedicated partnerships and exceptional customer service, EMC ensures that businesses are prepared for the unexpected with their superior insurance solutions.

📋 Description

• Investigate and evaluate moderately complex Special Investigation Unit referrals, including suspected organized fraud activity • Review claim, underwriting, premium audit, public record, claims history, and social media information • Conduct interviews, obtain statements, complete field investigations, and review supporting documentation • Attend examinations under oath and depositions • Collaborate with internal teams, attorneys, law enforcement, and other relevant parties • Analyze evidence to support or rule out suspected fraud • Recommend appropriate claim or policy handling • Pursue recovery or restitution opportunities • Prepare investigative reports, required state anti-fraud documentation, and evidence packages for civil litigation or criminal prosecution • Communicate investigation status, findings, and recommendations to stakeholders • Help develop and deliver internal anti-fraud training • Promote awareness of SIU services • Contribute to investigative policies, practices, and procedures • Maintain involvement in relevant professional associations

🎯 Requirements

• Bachelor’s degree in business, insurance, criminal justice or related field or equivalent relevant experience • Three years of claims adjusting, investigation or insurance-related experience or related experience • Prior property and casualty experience preferred • Fraud Claim Law Specialist designation within the first year of hire • Insurance designations, such as INS, AIC, and FCLS preferred • Good knowledge of the investigative process, including proper identification and collection of physical evidence • Good knowledge of civil and criminal investigative procedures and the legal system • Good knowledge of statement-taking techniques and collection and analysis of public and private records • Knowledge of the property and casualty insurance industry and fraud awareness preferred • Good investigative skills and sound decision-making ability • Conflict resolution, negotiation, and facilitation abilities • Ability to work independently and as part of a team • Strong verbal and written communication skills, including file documentation and report writing • Good knowledge of computers and Microsoft Office Suite • Attendance of the National Insurance Crime Bureau SIU Academy within the first two years of hire • Occasional travel • Valid driver’s license with an acceptable motor vehicle report per company standards required if driving

🏖️ Benefits

• Comprehensive rewards package; benefits details provided at www.emcins.com/careers • Work from home • Tobacco-free workplaces and company vehicles

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