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Siu Claims information

What are SIU claims?

SIU Claims refer to claims that are investigated by a Special Investigations Unit (SIU) within an insurance company. These units are responsible for identifying, investigating, and preventing insurance fraud and suspicious activities. When a claim shows signs of potential fraud or unusual circumstances, it is referred to the SIU for further review. SIU investigators use various methods, such as interviews, surveillance, and data analysis, to determine the validity of the claim. Their work helps ensure that legitimate claims are paid while fraudulent ones are detected and denied.

What skills and qualifications are needed to thrive as an SIU claims investigator?

To thrive as an SIU Claims Investigator, you need a solid understanding of insurance claims processes, investigative techniques, and relevant legal/regulatory guidelines, often supported by a bachelor's degree in criminal justice or a related field. Familiarity with claims management systems, fraud detection software, and data analysis tools is typically required, and certifications such as the Certified Insurance Fraud Investigator (CIFI) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills help investigators identify fraud and present their findings clearly. These skills and qualifications are critical for ensuring accurate claim resolutions, minimizing losses, and maintaining the integrity of the insurance process.

What are common challenges SIU claims investigators face when conducting investigations?

SIU (Special Investigations Unit) Claims investigators often encounter challenges such as gathering sufficient evidence while adhering to legal and ethical guidelines, managing tight deadlines, and navigating uncooperative witnesses or claimants. They must also stay updated on fraud trends and collaborate closely with other departments, such as legal and law enforcement, to ensure thorough and compliant investigations. Adapting to evolving technology and maintaining confidentiality are additional aspects that make the role both demanding and rewarding.

What is the difference between Siu Claims vs Insurance Adjuster?

AspectSiu ClaimsInsurance Adjuster
CredentialsTypically requires claims handling experience, industry knowledgeRequires licensing, certifications like AIC or CPCU
Work EnvironmentClaims department, often in insurance companies or third-party administratorsField or office-based, assessing damages and investigating claims
Employer & IndustryInsurance companies, third-party claims firmsInsurance companies, independent agencies

Both Siu Claims and Insurance Adjusters handle insurance claims, but Siu Claims specialists often focus on complex or specialized claims, especially in subrogation or fraud cases, while Insurance Adjusters evaluate damages and determine claim payouts. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Siu Claims jobs in Indiana?

For Siu Claims jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Siu Claims jobs in Indiana look for?

The top searched job categories for Siu Claims jobs in Indiana are:

What cities in Indiana are hiring for Siu Claims jobs?

Cities in Indiana with the most Siu Claims job openings:

Siu Claims jobs near you
Infographic showing various Siu Claims job openings in Indiana as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution.

Claims Adjuster II - Casualty

Brotherhood Mutual

Fort Wayne, IN • On-site

Full-time

Re-posted 7 days ago

Brotherhood Mutual rating

7.3

Company rating: 7.3 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

238th of 310 rated insurance

Job description

Job Title: Claims Adjuster II - Casualty
FLSA Status: Exempt
Job Family: Claims
Department: Casualty Claims
Location: Corporate Office (Fort Wayne, IN)
JOB SUMMARY
Responsible for effectively analyzing and resolving assigned claims consistent with Claims Department
standards and company objectives.
POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.
  • Resolve all assigned claims (including the occasional serious/complex claim, which could include
    but not be limited to unusual damage or coverage issues, or that need the involvement of expert
    analysis or require early recognition of policyholder concerns) within established settlement
    authority in a prompt, fair and equitable manner. Identify and investigate coverage, damage, and
    reserve adequacy on assigned claims.
  • Apply statutes, common law, and other applicable legal and regulatory concepts for the effective,
    efficient and equitable resolution of assigned claims.
  • Achieve established claim file audit objectives.
  • Communicate with policyholders, agents, claimants, attorneys, medical providers and other
    persons as needed and direct independent adjusters, appraisers and other support service
    providers to ensure effective, efficient, and equitable claims resolution.
  • Acquire, record and maintain all essential file documentation in accordance with established
    guidelines.
  • Provide timely status reports regarding assigned claims to claims department management and
    others.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery
    opportunities.
  • Participate and provide input in departmental meetings or interdepartmental meetings, projects or
    processes that relate to the claims function.
  • Travel as needed to attend training programs, conferences, mediation/other legal proceedings,
    and to conduct investigation relating to claims resolution.
  • Further the attainment of overall department objectives by assisting other claims personnel as
    needed.
  • Participate as needed in the orientation or training of new department personnel.
  • Complete other projects as assigned.

POSITION RESPONSIBILITES (supplement to the Position Description)
  • Handle assigned auto claims involving 1st and 3rd party property damage, represented bodily injury, UM/UIM, and PIP.
  • Investigate, evaluate, and resolve auto claims by reviewing coverage, liability, damages, and reserves and by obtaining and documenting relevant facts, statements, reports, estimates, photos, and other supporting information.
  • Apply policy language and legal requirements in the handling and resolution of auto claims.
  • Communicate with insureds, claimants, agents, attorneys, appraisers, repair facilities, and other service providers to support timely and effective claim resolution.
  • Handle litigated auto claims by retaining and managing legal counsel as needed and coordinating claim activity through resolution.
  • Identify opportunities for cost containment, loss mitigation, subrogation, SIU escalation, and other appropriate next steps in accordance with departmental guidelines.
  • Maintain accurate claim file documentation, data entry, and communication in accordance with departmental, policy, legal, and regulatory requirements.

ADDITIONAL SKILLS (supplement to the Position Description)
  • Ability to communicate effectively, orally and in writing, regarding coverage, liability, damages, and reserving on auto claims.
  • Ability to apply working knowledge of applicable laws, regulations, and claim handling requirements.
  • Ability to handle difficult or confrontational situations professionally and use sound judgment in claim resolution.
  • Ability to identify subrogation opportunities, SIU referrals, and other issues requiring escalation.

KNOWLEDGE, SKILLS, AND ABILITIES
The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform
each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
  • Must be able to effectively communicate with others (both oral and written). Must demonstrate the
    ability to present a reasoned position in both an oral and written format.
  • Must be able to make independent decisions.
  • Must have good interpersonal skills. Must have the ability to handle confrontational situations in a
    productive manner. Must demonstrate the ability to employ sound negotiation techniques in the
    resolution of assigned claims.
  • Must have good organizational skills.
  • Must have a good understanding of basic issues related to claims. Must have a good
    understanding of coverage issues.
  • Must be able to access, input and retrieve information from a computer.
  • Must have a good understanding of all automated claims department processing systems and
    workflows.
  • Should be able to sit for prolonged periods of time.
  • Possess the ability to inspect losses by walking, lifting, climbing or bending.
  • Effectively interface with external contacts, Brotherhood employees, managers, and department
    staff members.

EDUCATION AND/OR EXPERIENCE
List Degree Requirement, Years' Experience, and Certifications
  • Bachelor's degree or completed AIC or completed 3 parts of CPCU, is required.
  • Must be able to take and pass mandatory adjuster licensing requirements.
  • Must have 3 years or more of claim technical experience.
  • AIC/CPCU or other insurance-related course work is desired.
  • 5 years or more of Brotherhood Mutual claims technical experience is desired.

Terms and Conditions
This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.
Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The
employment relationship remains "at-will".
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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