SIU Sr Investigator
SIU Sr Investigator
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Job Description
Company Details
Our Company provides a state of predictability which allows brokers and agents to act with confidence.
Founded in 1967 W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.
Along the way weve been listed on the New York Stock Exchange become a Fortune 500 Company joined the S&P 500 and seen our gross written premiums exceed $10 billion.
Today the Berkley brand comprises more than 50 businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman founder and largest shareholder William. R. Berkley and our President and Chief Executive Officer W. Robert Berkley Jr. W.R. Berkley Corporation is wellpositioned to respond to opportunities for future growth.
The Company is an equal employment opportunity employer.
Responsibilities
The SIU Senior Investigator is responsible for conducting complex thorough and timely investigations involving potential insurance fraud where questionable or suspicious activity has been identified. This role involves the ability to effectively protect prevent and detect fraud by actively being involved in antifraud efforts.
Identify analyze and conduct thorough investigations of suspicious claims in a timely manner
Ensure accurate detailed and timely interviews are completed on applicable parties
Evaluate analyze verify and obtain material evidence relevant to the investigation
Locate extract and review data from multiple sources and systems to assist in the course of the investigation to ensure accuracy in findings
Evaluate and coordinate vendor involvement when deemed necessary by establishing a costeffective budget when utilizing SIU vendors and experts
Ensure all investigative findings are properly and thoroughly documented in a timely manner
Evaluate determine and complete referrals to State Insurance Departments Fraud Bureaus and NICB when suspicious and fraudulent activity has been identified
Facilitate and coordinate investigations with external SIU contacts NICB Department of Insurance Fraud and various law enforcement agencies
Facilitate and maintain effective professional communication by providing best in class service to both internal and external customers
Develop and present antifraud training to claims personnel
Participate in decision making discussions with Company personnel on cases worked and resolution on investigative results
Provides effective technical advice on SIU related investigative issues in addition to communication of industry data trends government and legal updates
Produce investigative reports to SIU leadership through data mining pattern analysis and claim trends
Qualifications
Must have 5 or more years of prior SIU experience handling multi line claims with focus on commercial lines
Exhibit knowledge of basic insurance principals pertaining to claims processes and procedures
Knowledge of good faith claims practices
Demonstrate knowledge of investigative methods in regards to laws rules and regulations involving insurance fraud
Knowledge of privacy regulations and compliance requirements
Proficiency with MS Office products
Easily adapts to new or changing situations and priorities
Ability to be flexible and multitask
Dedicated to meeting the expectations of internal and external customers
Strong organizational and prioritization skills
Ability to properly handle sensitive and confidential information
Ability to work both independently and in a team environment
Demonstrate a strong work ethic with a positive attitude
Excellent verbal and written communication skills
Education Requirement
Bachelors Degree preferred
Completion of one or more of the following designations: CIFI FCLS FCLA and/or CFE
Additional Company Details
Base Salary Range: $30.77/hour to $56.41/hour
Eligible to participate in annual discretionary bonus
Benefits include: Health dental vision dental life disability wellness paid time off 401(k) and profitsharing plans
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Required Experience:
Senior IC
Employment Type
Unclear
