Senior Claims Examiner
$69K - $89K/yr
... management, investigative, and Special Investigations Unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs ...
$69K - $89K/yr
... management, investigative, and Special Investigations Unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs ...
$69K - $89K/yr
... management, investigative, and Special Investigations Unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs ...
Irvine, CA · Hybrid
$54K - $103K/yr
Ensures issuance of disbursements while managing loss costs and expenses. * Coordinates and ... Identifies files that have potential fraud and refers to SIU. * Utilizes negotiation skills to ...
Irvine, CA · Hybrid
$54K - $103K/yr
Ensures issuance of disbursements while managing loss costs and expenses. * Coordinates and ... Identifies files that have potential fraud and refers to SIU. * Utilizes negotiation skills to ...
Tustin, CA · On-site
$175 - $185/hr
... Management initiatives (PPM, SIU)Conduct focused chart audits to identify utilization and care delivery patternsContribute to quality committees and regulatory reportingProvide clinical expertise in ...
New
Tustin, CA · On-site
$175 - $185/hr
... Management initiatives (PPM, SIU)Conduct focused chart audits to identify utilization and care delivery patternsContribute to quality committees and regulatory reportingProvide clinical expertise in ...
New
... SIU resources for further investigation. * Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are ...
... SIU resources for further investigation. * Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are ...
... SIU resources for further investigation. * Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
Manages an inventory of moderate to high complexity and exposure commercial claims by following ... SIU resources for further investigation. * Achieves quality standards on every file by following ...
Manages an inventory of moderate to high complexity and exposure commercial claims by following ... SIU resources for further investigation. * Achieves quality standards on every file by following ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
Tustin, CA · On-site +1
Participate in Quality Improvement and Performance Management initiatives (PPM, SIU) * Conduct focused chart audits to identify utilization and care delivery patterns * Contribute to quality ...
Tustin, CA · On-site +1
Participate in Quality Improvement and Performance Management initiatives (PPM, SIU) * Conduct focused chart audits to identify utilization and care delivery patterns * Contribute to quality ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
... SIU resources for further investigation. * Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files ...
Tustin, CA · On-site +1
Participate in Quality Improvement and Performance Management initiatives (PPM, SIU) * Conduct focused chart audits to identify utilization and care delivery patterns * Contribute to quality ...
Tustin, CA · On-site +1
Participate in Quality Improvement and Performance Management initiatives (PPM, SIU) * Conduct focused chart audits to identify utilization and care delivery patterns * Contribute to quality ...
Proactively manages assigned claims caseload comprised of complex damages that require commensurate ... SIU) referrals, when appropriate. Determines coverage through analyzing information involving ...
Proactively manages assigned claims caseload comprised of complex damages that require commensurate ... SIU) referrals, when appropriate. Determines coverage through analyzing information involving ...
Diamond Bar, CA · On-site
$60K - $75K/yr
Subrogation, SIU, etc.). Effectively manages work assignments and referrals. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
Diamond Bar, CA · On-site
$60K - $75K/yr
Subrogation, SIU, etc.). Effectively manages work assignments and referrals. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
Diamond Bar, CA · On-site
$85K - $141K/yr
As an SIU Specialized Investigator, you will analyze highly complex technical information with ... Influence and conflict management skills to deal with crisis situations * Excels at working ...
Diamond Bar, CA · On-site
$85K - $141K/yr
As an SIU Specialized Investigator, you will analyze highly complex technical information with ... Influence and conflict management skills to deal with crisis situations * Excels at working ...
Diamond Bar, CA · On-site
$63K - $105K/yr
Subrogation, SIU, etc.). Effectively manages work assignments and referrals. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
Diamond Bar, CA · On-site
$63K - $105K/yr
Subrogation, SIU, etc.). Effectively manages work assignments and referrals. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
Diamond Bar, CA · On-site
$63K - $105K/yr
Subrogation, SIU, etc.). * Effectively manages work assignments and referrals. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
Diamond Bar, CA · On-site
$63K - $105K/yr
Subrogation, SIU, etc.). * Effectively manages work assignments and referrals. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be ...
$26.7K - $34.8K
2% of jobs
$34.8K - $42.9K
6% of jobs
$42.9K - $51K
6% of jobs
$51K - $59K
5% of jobs
$66.7K is the 25th percentile. Wages below this are outliers.
$59K - $67.1K
5% of jobs
$67.1K - $75.2K
13% of jobs
$75.2K - $83.3K
12% of jobs
The median wage is $83.7K / yr.
$83.3K - $91.3K
9% of jobs
$91.3K - $99.4K
8% of jobs
$102.2K is the 75th percentile. Wages above this are outliers.
$99.4K - $107.5K
22% of jobs
$107.5K - $115.5K
11% of jobs
$26.7K
$83.2K
$115.5K
A SIU (Special Investigations Unit) Manager oversees the detection, investigation, and prevention of fraudulent activities within an organization, typically in insurance or healthcare. They lead a team of investigators, analyze suspicious claims, and ensure compliance with legal and regulatory standards. Their role involves working closely with law enforcement, legal teams, and industry organizations to mitigate financial risks and uphold ethical practices. Effective SIU Managers have strong analytical, leadership, and communication skills.
SIU Managers often encounter challenges such as managing a high volume of complex fraud cases, adapting to evolving fraud schemes, and ensuring compliance with legal and regulatory standards. Balancing the investigative workload among team members while maintaining high-quality standards requires strong organizational and leadership skills. SIU Managers also coordinate closely with claims teams, legal counsel, and regulatory agencies, which can involve complex negotiations and detailed reporting. Successfully overcoming these challenges is key to reducing risk and protecting the company’s assets.
To thrive as an SIU Manager (Special Investigations Unit Manager), you need in-depth knowledge of insurance claims, fraud detection methods, and investigative procedures, generally supported by a relevant degree and several years of industry experience. Familiarity with case management software, data analytics tools, and certifications such as CIFI (Certified Insurance Fraud Investigator) or CFE (Certified Fraud Examiner) are highly valuable. Exceptional analytical thinking, leadership, and effective communication skills help SIU Managers oversee investigative teams and collaborate with stakeholders. These skills are crucial for successfully identifying fraud, ensuring regulatory compliance, and supporting the financial integrity of the organization.

$69K - $89K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 3 days ago
JOB TITLE: Claims Adjuster, Public Entity
DEPARTMENT: Claims Services
REPORTS TO: Claims Manager / Director of Claims
FLSA STATUS: Exempt
COMPANY OVERVIEW
Venbrook Claims Services is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services. Venbrook's team of experts and industry specialists partners with clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.
Venbrook Claims brings together decades of specialized expertise by integrating respected legacy claims brands: Carl Warren & Company, DMA Claims, and OneSource Claims Management. Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and Special Investigations Unit (SIU) services.
Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs, transportation companies, manufacturers, public school systems, and property owners.
With over a century of combined claims experience, our organization's legacy brands have been unified as Venbrook Claims to deliver scalable, flexible solutions supported by centralized governance, compliance, and technology infrastructure. Our culture is derived from the people who create it. We are not different in what we do - we are different in how we do it. We believe our clients are our partners, and we earn their trust every day.
We offer competitive compensation and a comprehensive benefits package:
Visit us at https://www.venbrook.com/contact-us/careers
JOB SUMMARY
The Claims Adjuster, Public Entity is responsible for the end-to-end management of property and casualty claims on behalf of public entity clients, including municipalities, school districts, and government agencies. This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation, communicate proactively with clients, and deliver high-quality outcomes consistent with client guidelines and best practices.
POSITION COMPETENCIES
Communication Skills: Consistently and effectively communicates with a diverse spectrum of people, including public entity clients, attorneys, claimants, and vendors. Demonstrates active listening and the ability to convey complex claims information clearly to varied audiences - both verbally and in writing.
Problem Solving & Decision Making: Applies sound judgment to determine the best path to claim resolution. Considers short- and long-term effects through the decision-making process, ensuring all relevant stakeholders are engaged and exposures are properly evaluated.
Customer Service Orientation: Aligns efforts to support a client-centric culture. Understands performance expectations, delivers high-quality service, and maintains timely and responsive communication with both internal and external clients.
Interpersonal Skills & Collaboration: Builds and maintains strong working relationships with clients, team members, vendors, and legal partners. Demonstrates resilience, approachability, and the ability to work effectively in a team environment.
Public Entity & Legal Acumen: Demonstrates knowledge of the unique regulatory environment, governmental immunities, and litigation considerations specific to public sector claims. Able to read, interpret, and apply legal documents and case law relevant to public entity exposure.
Strategic Thinking: Continuously monitors claims activity, identifies trends, and makes recommendations to improve outcomes. Maintains awareness of industry and market changes that may impact public entity claim handling.
Functional/Technical Expertise: Demonstrates the ability to investigate, evaluate, and resolve moderate to high-severity claims. Maintains technical expertise through continuing education, designations, and professional development. Proficient in claims management systems and Microsoft Office applications.
Accountability & Integrity: Takes ownership of assigned files, meets deadlines, and holds to the highest standards of professional conduct. Consistently achieves audit and quality benchmarks and operates transparently with clients and leadership.
DUTIES & RESPONSIBILITIES
REQUIRED SKILLS & ABILITIES
EDUCATION & EXPERIENCE
Salary Range 80k-90k
Sourced by ZipRecruiter
51 - 200 Employees
Los Angeles, CA, US
1995