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Remote Auto Insurance Fraud Investigator Jobs in Florida

GEICO

Senior Field Security Investigator

Orlando, FL · On-site +1

... auto insurers in the United States. When you join our company, we want you to feel valued ... of fraud or other illegal activities against the Company, including interviewing, database ...

Nymbus, Inc.

Fraud Analyst

Jacksonville, FL · Remote

... investigations. Additionally, the Fraud Analyst will ensure that all cases of suspicious or ... Fully Remote. * 401(k) plan. * Insurance - Health, Dental, and Vision. * Time Off Ready to join? We ...

Sierra Forensic Group (SFG)

Associate

Miami, FL · On-site +1

Our professionals specialize in forensic accounting, fraud investigations, litigation support ... insurance companies, law enforcement, and management of companies involved in financial and fraud ...

Sierra Forensic Group (SFG)

Associate

Miami, FL · On-site +1

Our professionals specialize in forensic accounting, fraud investigations, litigation support ... insurance companies, law enforcement, and management of companies involved in financial and fraud ...

Alpine Intel

Fire Investigator

Jacksonville, FL · Remote

Remote Schedule * Competitive Compensation Package * Bonus Opportunity * Career Growth * A Diverse ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

ARC Group

Claims Adjustor (BI)

Oakland Park, FL · Remote

Stay informed about changes in legislation and industry trends affecting commercial auto insurance ... experience, investigations or other related fields with liability, and property damage, and ...

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Remote Auto Insurance Fraud Investigator information

What is the difference between Remote Auto Insurance Fraud Investigator vs Remote Auto Claims Adjuster?

AspectRemote Auto Insurance Fraud InvestigatorRemote Auto Claims Adjuster
Primary RoleDetects and investigates insurance fraud casesEvaluates and processes auto insurance claims
Required CredentialsInsurance or fraud investigation certifications often preferredAdjuster license and claims handling certifications
Work EnvironmentRemote, investigative setting, often with law enforcement or legal teamsRemote, customer service and claims processing environment
Industry UsageInsurance companies, fraud detection agenciesInsurance companies, third-party claims organizations

While both roles work within the auto insurance industry and may require similar certifications, the Remote Auto Insurance Fraud Investigator focuses on uncovering fraud, whereas the Remote Auto Claims Adjuster handles the assessment and settlement of claims. Understanding these differences helps job seekers target the right position based on their skills and interests.

What are the most commonly searched types of Auto Insurance Fraud Investigator jobs in Florida?

The most popular types of Auto Insurance Fraud Investigator jobs in Florida are:

What are popular job titles related to Remote Auto Insurance Fraud Investigator jobs in Florida?

For Remote Auto Insurance Fraud Investigator jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Auto Insurance Fraud Investigator jobs in Florida look for?

The top searched job categories for Remote Auto Insurance Fraud Investigator jobs in Florida are:

What cities in Florida are hiring for Remote Auto Insurance Fraud Investigator jobs?

Cities in Florida with the most Remote Auto Insurance Fraud Investigator job openings:

Remote Auto Insurance Fraud Investigator jobs near you

Insurance Fraud Investigator SIU - Orlando Florida

United Automobile Insurance Company

Orlando, FL • On-site, Remote

$20.75 - $26.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

COMPANY OVERVIEW:
Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for Insurance Fraud Investigator (SIU) to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business.
Remote position, and must be located in the Orlando, Florida area
SCOPE:
As a Insurance Fraud Investigator I(SIU) for UAIC, you will be responsible for conducting field as well as desk investigations to detect fraud on high complexity claims involving staged auto accidents, fraud rings, and questionable medical treatment. You will provide investigative expertise to limit exposure and protect company assets. These investigations involve auto liability private passenger and commercial auto lines for non-standard policies. Investigations may include database searches, Examinations Under Oath, and scene canvasses. Focusing on thoroughness, quality, timeliness, and cost control. Our special investigator II will prepare and submit SIU investigative reports covering all phases of the investigation in each case for approval. You will maintain continued contact during investigations with supervision, internal legal professionals, external medical professionals, government/regulatory agencies, NICB, Law Enforcement, and outsourced vendors. The Investigator will also be responsible for effectively carrying out investigations of alleged Fraud, Waste, and Abuse by medical providers, body shops, and others.
DUTIES:
  • Conduct clinic inspections and examinations under oath.
  • Conduct in-depth research and review of suspected fraudulent or abusive patterns to develop sufficient evidence to conclusively establish facts involving insureds, claimants, medical and auto body shop providers, or other entities.
  • Collect, utilize, and interpret data from a variety of computer-generated reports and other sources; thereby identifying and documenting questionable patterns related to medical modalities, procedures, and other practices which merit further investigation.
  • Maintains assigned investigation files, documents evidence, and prepares comprehensive investigation reports at the completion of each investigation.
  • Assist in conducting comprehensive interviews: medical and other providers aforementioned, insureds/claimants in the presence of their attorneys where applicable, and witnesses to obtain statements and information admissible under accepted rules of evidence in civil and criminal court proceedings.
  • Conducts special projects initiatives/investigations referred by the House Counsel.
  • Establishes and maintains liaison with NICB, Law Enforcement officers, and others to obtain assistance in conducting, facilitating, and enhancing investigations.
  • Knowledgeable about all applicable insurance regulations, especially PIP regulations to ensure duties and assignments are carried out within the requirements of applicable law and office expectations.
  • Mentor and teach less experienced investigators, promoting teamwork and collaboration among the department. Encourage sharing of insights, experiences, and best practices within the SIU team.

EDUCATION:
  • Associate or bachelor's degree in a related field preferred and/or 5 years of related work experience.
SKILLS & 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 as demonstrated by appropriate treatment of confidential information, and adherence to policies, rules, and regulations.
  • Effective communication and interpersonal skills, with the ability to build and maintain relationships with internal and external stakeholders.
  • Excellent organizational and project management abilities, with a keen eye for detail.
  • Expert knowledge of medical claims processing and investigations, a strong plus.
  • Experience in CPT codes and medical terminology is highly preferred.
  • Detail-oriented investigator with strong organizational and time management abilities
  • Analytical and interview skills: ability to make deductions; logical and sequential thinker.
  • Computer literate; database and Internet proficient. Has knowledge of available resources (internal and external) to assist in investigations.
  • Ability to work with others in a team environment.

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

UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit https://www.e-verify.gov/.
UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Compensation Notice: Compensation ranges and estimates displayed by third-party job platforms may be automatically generated and may not reflect United Auto Insurance's established compensation range for this position. Where required by applicable law, United Auto Insurance will provide the applicable pay range and other required compensation information. For questions regarding compensation for this position, please contact our Recruiting Team.

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