SIU Specialist
- Full-Time
Position Summary
Investigate possible fraud in underwriting and claims. May include medical provider fraud.
Essential Functions
- Investigate possible fraud in underwriting and claims.
- Provide monthly statistics, such as the number open and closed claims/underwriting files, as well as Special Investigations Unit Savings.
- Perform database searches and gather relative information needed from claims and underwriting files to commence an investigation.
- Conduct non-customer contact investigation, such as obtaining Department of Motor Vehicles certified copies and performing NJ court research.
- Prepare detailed and thorough reports on the findings of the preliminary investigation and make recommendations for further handling of the file.
- Prepare BFD forms for Investigators and meet with BFD Investigators on referred SIU files
- Conduct customer contact investigations; take recorded statements; daily telephone contact with claimants, insureds, attorneys.
Physical Demands
- Prompt and regular attendance
- Frequently move about to coordinate work
- Must be able to be stationary and type for extended periods of time
- Frequently communicates with others in person, on the phone and in writing
- Lift and carry files weighing up to 5 pounds
Nonessential Functions
- Maintain SIU Database
- Assist with SIU Training Program
Education: Bachelors degree with at least 1 yr insurance experience; or Associates degree with at least 2 yrs insurance experience.
Years/Type of Experience: If no degree, then a minimum of 4 years related insurance exp.; or 5 years law enforcement exp. with 1 year insurance experience.
Licenses/Designations: Relevant insurance industry licensing preferred.
Specific Skills: Computer proficiency, detail-oriented, decision-making ability and strong communication skills. Must possess strong writing and reporting skills.
Knowledge: Auto Insurance Underwriting Knowledge Needed. Claims Knowledge a Plus.
Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Address
NJ CURE
Detroit, MIIndustry
Finance and Insurance
Posted date
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