Loyalty MGA is looking for a SIU Investigator to identify and investigate potential fraudulent claims. This position offers a hybrid work schedule upon successfully completing the company’s probation period. The SIU Investigator will be responsible for conducting thorough investigations, gathering evidence, and collaborating with internal teams to prevent and detect fraud. The ideal candidate will have a keen eye for detail, strong investigative skills, and experience in claims fraud prevention.
Responsibilities:
Fraud Investigation:
- Investigate suspicious claims for potential fraud, including interviews, surveillance, and evidence collection.
- Analyze claims data to identify patterns and red flags that may indicate fraudulent activity.
Reporting & Documentation:
- Prepare detailed investigation reports, documenting findings and supporting evidence.
- Present investigative findings to management and regulatory bodies as needed.
Collaboration:
- Work closely with claims adjusters, legal teams, and law enforcement to support fraud investigations.
- Assist in developing strategies to prevent fraud and improve claims processes.
Compliance:
- Ensure investigations comply with company policies, industry regulations, and legal requirements.
- Maintain confidentiality of sensitive information related to investigations.
Requirements:
- High School Diploma or G.E.D.
- 6 months of claims handling or investigative experience in any field.
- Experience in Loss Prevention and Surveillance preferred.
- Bilingual in English and Spanish is required.
- Active insurance adjuster’s license preferred; must obtain and maintain as needed.
- Strong customer service and communication skills.
- Basic proficiency in Microsoft Office.
- Negotiate settlements with claimants or their representatives, ensuring fair and equitable agreements.
- Adhere to ethical standards and guidelines while handling claims and interacting with stakeholders.
- High school diploma or equivalent; bachelor's degree in business, or related field preferred.
- Strong problem-solving skills with a focus on delivering timely and effective resolutions to customer issues.
- Strong organizational and time management skills to handle multiple tasks efficiently.
- Professional, energetic, and ability to thrive in a fast-paced environment and adapt to changing priorities.
- Excellent verbal and written communication skills. Ability to articulate solutions clearly and concisely.
ABOUT US
We are a fast-growing bilingual insurance organization supporting clients throughout Florida. Our claims team helps families and businesses navigate unexpected events with confidence by providing accurate assessments, timely communication, and solutions tailored to each situation.
We take pride in offering a claims experience that is supportive, efficient, and built around real customer needs. We are not your average insurance agency. We invest in our people, recognize performance, and provide clear opportunities for career growth.
If you are bilingual, detail oriented, and motivated to build a rewarding career in claims adjusting, you have found the right team.
WHY JOIN US
We know talented bilingual professionals have options. Here is what makes us different:
• Real base pay — Competitive salary based on your experience and license
• Medical Insurance — Comprehensive health coverage for you
• Dental & Vision — Full dental and vision plans included
• Supplemental Plans — Voluntary supplemental options available
• Basic Life Insurance — Company-paid life insurance policy
• 401(k) with Match — We invest in your retirement savings too
• Paid Time Off — 2.5 weeks PTO to start, growing with tenure
• Sick Time — Dedicated sick time, separate from your PTO
• Performance Bonus — Structured plan tied directly to your results
• Employee Referral Program — Earn rewards for bringing great talent in
OUR CORE VALUES — “The harder we work, the luckier we are.”
• PROTECT — We ensure the safety of our communities with robust, comprehensive insurance options.
• HELP — Our agents provide swift, personalized support to guide every client through their options.
• PROMOTE — We invest in our workforce with career paths and training for aspiring agents.
• BUILD — Every client relationship is built on trust and transparency, tailored to individual needs.
• EDUCATE & GUIDE — We empower clients to make informed insurance decisions with clarity.
• PROVIDE — Affordable, innovative insurance solutions made accessible through tools like our app.
READY TO MAKE YOUR MOVE?
We are building a team of motivated bilingual professionals who want their effort to show in their paycheck.
Apply today. Interviews scheduled promptly. Bring your license, your drive, and your ambition.