SIU Claims Investigator

Job Summary

A company is looking for a Claims Property Adjuster Special Investigations Unit (SIU) Investigator - Consultant II.

Key Responsibilities

• Conducts thorough investigations of highly complex, multi-discipline claims and Excess Coverage Liability (ECL) claims that are potentially fraudulent to determine if payment is warranted
• Utilizes analytic tools or SIU field intelligence to identify highly complex claims for investigation and/or for support in the evidence of the fraud and damages
• Summarizes documents and enters into claim system notes, documenting a claim file with notes and evaluations

Required Qualifications

• Experience in claims investigation and analysis
• Knowledge of fraud detection and prevention techniques
• Ability to conduct thorough background searches and scene investigations
• Experience with analyzing medical notes, bills, and property damage
• Familiarity with documenting claims and summarizing findings in a claims system