Insurance Fraud Investigator, SIU

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🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚨 AML and Financial Crime

👻 Ghost score 11%

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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United Automobile Insurance Company

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1989

🚘 Automotive

💼 Consulting

🛡️ Insurance

💰 Venture Round on 2018-04

Automotive • Consulting • Insurance

United Automobile Insurance Company (UAIC) is a family-owned automobile insurance provider founded in 1989 and headquartered in Miami Gardens, Florida. The company offers a variety of insurance products tailored for both independent agents and customers, including standard and commercial auto insurance. UAIC has grown significantly since its inception, operating in multiple states across the U. S. and focusing on delivering quality service, disciplined underwriting, and strategic claims handling. With an emphasis on technology and innovation, UAIC aims to be a leader in the automobile insurance industry, providing affordable and reliable coverage options.

📋 Description

• Conduct field and desk investigations of high-complexity claims involving staged auto accidents, fraud rings, and questionable medical treatment • Provide investigative expertise to limit exposure and protect company assets • Investigate auto liability private passenger and commercial auto claims for non-standard policies • Conduct database searches, Examinations Under Oath, scene canvasses, clinic inspections, and interviews • Research and review suspected fraudulent or abusive patterns to develop evidence and establish facts • Collect, interpret, and document data from computer-generated reports and other sources • Maintain investigation files, document evidence, and prepare comprehensive investigative reports • Interview medical and other providers, insureds, claimants, and witnesses to obtain admissible statements and information • Conduct special projects and investigations referred by House Counsel • Liaise with NICB, law enforcement, regulatory agencies, medical professionals, legal professionals, and outsourced vendors • Apply insurance regulations, especially PIP regulations, to investigations • Mentor and teach less experienced investigators and promote collaboration within the SIU team

🎯 Requirements

• Associate or bachelor’s degree in a related field preferred and/or 5 years of related work experience • Bilingual (English & Spanish) • Knowledge of current procedural terminology • Strong critical thinking and analytical skills with the ability to interpret data and trends • In-depth knowledge of applicable fraud statutes, regulations, and industry best practices • High degree of integrity, including appropriate treatment of confidential information and adherence to policies, rules, and regulations • Effective communication and interpersonal skills • Excellent organizational and project management abilities, with attention to detail • Expert knowledge of medical claims processing and investigations is a strong plus • Experience in CPT codes and medical terminology is highly preferred • Detail-oriented with strong organizational and time management abilities • Analytical and interview skills, including deduction and logical, sequential thinking • Computer literate; database and Internet proficient • Knowledge of internal and external resources for investigations • Ability to work with others in a team environment • Must be located in the Orlando, Florida area • Must be eligible to work in the United States; UAIC participates in E-Verify

🏖️ Benefits

• 401(k) Retirement Savings Plan with employer match • Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance • Paid Time Off, Holidays, and Leave programs • Flexible spending accounts • Basic Life Insurance and Voluntary Life/ADD • Short Term and Long-Term Disability

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