SIU Analyst

Company

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

Business Title(s): SIU Analyst

Employment Type:Full-Time

FLSA Status:Exempt

Location:In-Office: Any employee in any Clearbrook office can apply for this opportunity and stay in their current location.

Summary:

We are looking for a highly capable SIU Analyst to serve in a support role for our investigative teams in both Argo and Farm Family on basic and major investigations. We are looking for a candidate to fill this position from our Omaha office. This position reports to the Director SIU & Compliance in Richmond VA.

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities:

• Working under technical direction applies established investigative methodologies and analytical techniques to support the identification investigation and deterrence of suspected instances of insurance fraud under both the Argo and Farm Family brands in both claims and underwriting.
• Conducts ISO searches background checks social media investigations and other research activities as directed by the SIU teams of Argo and Farm Family.
• Ensures data is updated and maintained in claims and SIU source systems to support investigative efforts and accurate case documentation.
• Analyzes social media results public records and other intelligence sources to determine whether claimant activities employment status or reported losses are consistent with claim presentations.
• Initiates proactive data investigations and identifies emerging fraud patterns organized fraud rings repeat exposure trends and other indicators of potentially fraudulent activity.
• Assists SIU investigators in both Argo and Farm Family throughout the investigative lifecycle by gathering organizing and analyzing information from multiple data sources.
• Performs audits and reviews as requested by SIU leadership to ensure compliance with fraud identification procedures red flag requirements and investigative best practices.
• Applies knowledge of Property & Casualty Workers Compensation and other commercial insurance industry services and processes in support of fraud investigations.
• Collaborates with claims underwriting legal and SIU team members to support investigations and fraud prevention initiatives.
• Assists with the development enhancement and utilization of case management platforms investigative tools and data modeling capabilities.
• Effectively communicates with the SIU team on general observations and provides ongoing feedback on fraud trends developments and investigative opportunities.
• Assists with fraud awareness training for claims and underwriting staff and serves as a resource for fraud detection and referral processes.
• Demonstrates initiative in identifying more effective investigative tools technologies workflows and analytical techniques.
• Ensures the confidentiality and security of sensitive information throughout the investigative process.

Qualifications / Experience Required:

• A practical knowledge of SIU claims as well as an exceptional customer service focus typically achieved through:
  • Bachelors degree from an accredited university required.
  • A Certified Insurance Fraud Investigator (CIFI) designation plus one other industry designation (such as CIFA CIFR AIC or CPCU or four additional years of related experience beyond the minimum experience required above may be substituted in lieu of a degree. Must be licensed or have the ability to quickly obtain a license within one year.
  • A minimum two (2) years of practical knowledge of SIU investigations fraud detection techniques and investigative analytics
• Must have good business acumen (i.e. understand how an insurance company works and makes money including how this role impacts both Clearbrooks and our customers ability to be profitable).
• Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that are generally not complex but require an understanding of a broader set of issues.
• A strong focus on execution in getting things done ability to consistently produce and deliver expected results to all stakeholders by:
  • Finding a way to achieve success through adversity.
  • Being solution (not problem) focused
  • Thinking with a global mindset first.
• Successful traits (flexibility ability to thrive in change being resourceful on your own)necessaryto work in afast-pacedenvironment that is evolving constantly.
• Must have excellent communication skills and the ability to build lasting relationships.
• Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
• Excellent evaluation analytical and strategic thinking skills required.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
• Proficient in MS Office Suite and other business-related software.
• Polished and professional written and verbal communication skills. Presents information clearly concisely and accurately.
• Ability to effectively network build and maintain relationships and establish appropriate visibility with business partners.
• The ability to read and write English fluently is required.
• Mustdemonstratea desire for continued professional development through continuing education and self-developmentopportunities.

About Working in Claims at Clearbrook

• Clearbrook does not treat our claims or our claims professionals as a commodity. The work we offer is challenging diverse and impactful.
• Our Adjusters and Managers are empowered to exercise their independent discretion and within broad limits and authority be creative in developing solutions and treat each case as the unique situation it is.
• We have a very flat organizational structure enabling our employees have more interaction with our senior management team especially when it relates to reviewing large losses.
• Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
• We believe in building an inclusive and diverse team and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us please contact our Benefits Department at .

Benefits and Compensation

We offer a competitive compensation package performance-based incentives and a comprehensive benefits programincluding health dental vision 401(k) with company match paid time off and professional development opportunities.

Core Values

At Clearbrook our Core Values are Integrity Collaboration Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we aspire to be - guiding how we work how we lead and how we succeed.