SIU Investigator
$45k - $65kUnivista Holdings
Job Details Job Location: Casselberry, FL 32707 Salary Range: $45,000.00 - $65,000.00 Salary/year 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. Qualifications 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 agency serving clients across Florida and Texas! Our team helps families and businesses protect what matters most — through auto, home, life, and commercial insurance solutions built around each client’s needs. We are not your average insurance agency. We invest in our people, recognize performance, and create real paths for growth — from your first day in the office to owning your own location. If you are bilingual, driven, and want a career that rewards your work, you have found the right team. WHY JOIN US We know talented bilingual insurance professionals have options. Here is what makes us different: Real base pay - Competitive salary based on experience and license held Paid Time Off - 1 week PTO to start, growing with tenure Medical Insurance - Comprehensive health coverage for you Sick Time - Dedicated sick time separate from your PTO Dental & Vision - Comprehensive dental and vision coverage Performance Bonus - Structured plan tied directly to your results Supplemental Plans - Voluntary supplemental options available Employee Referral - Earn rewards for bringing great talent in Basic Life Insurance - Company-paid life insurance Career Growth Path - CSR → Agent → Team Lead → Manager → Owner 401(k) with Match - Invest in your retirement savings with us! Training & Development - Ongoing sales, product, customer service & compliance training OUR CORE VALUES The harder we work, the luckier we are. PROTECT Safety for our communities We ensure the safety of our communities by offering robust insurance options for life's many facets. Quality and comprehensiveness are the hallmarks of our coverage. HELP Swift, personalized support Our agents are ready to assist with any insurance questions, providing swift and personalized support to guide clients through their options. PROMOTE Investing in our workforce We invest in the future of our workforce with career paths and training for aspiring agents, contributing to the growth of the insurance sector. BUILD Trust & transparency Our client relationships are built on trust and transparency, with each interaction tailored to meet individual insurance needs. EDUCATE & GUIDE Clarity & empowerment Clarity and empowerment are the goals of our resources, aimed at helping clients make informed insurance decisions. PROVIDE Accessible solutions We deliver affordable and innovative insurance solutions made readily accessible through tools like our app, enhancing convenience for our clients. #J-18808-Ljbffr
- ...Elevance Health seeks a Business Change Director for the SIU Fraud and Abuse AI portfolio. You will partner with business, product, digital, and technology leaders to drive AI strategy, adoption, and value realization across short- and long-term initiatives. In this hybrid...SuggestedTemporary workWork at office
$107.9k - $172.64k
...Job Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting health care fraud, waste, and abuse. This role ensures patient care is accurately...SuggestedWork at officeLocal areaRemote workFlexible hours2 days per week- Command Investigations seeks an experienced SIU Investigator to join our Operations team. This embedded role conducts claim/file evaluations to detect fraud, prepares SIU reports, and collects evidence suitable for court presentation. The ideal candidate understands commercial...SuggestedRemote job
- Kemper Corporation in Miami, Florida is seeking a SIU Investigator to conduct field and desk investigations of insurance claims within a remote role servicing the Miami-Dade County area. You will gather facts, coordinate with fraud units and law enforcement, prepare reports...SuggestedRemote job
- ...J T Becker & Co Inc is seeking experienced Field Investigators for as-needed roles within Florida. This is ideal for licensed investigators looking for flexible hours while providing expert services in various insurance claims investigations. The successful candidate will...SuggestedFlexible hours
$56.2k - $101k
...a fresh perspective on workplace flexibility. Please note: candidates located in Florida are highly preferred. Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations...Full timePart timeWork at officeRemote workFlexible hours- ...J T Becker & Co Inc is looking for skilled Field Investigators in New York to provide expert investigative services on an as-needed basis.... ...will conduct diverse investigations including surveillance and SIU assignments, while maintaining stringent confidentiality and effective...Flexible hours
- Becker & Company is seeking skilled and experienced Field Investigators on an as-needed basis to support insurance claims, including workers... ...assignments. The ideal candidate will perform surveillance and SIU tasks within a defined geographic area, obtaining video documentation...Flexible hours
- Becker & Company is seeking skilled and experienced Field Investigators to join our team on an as-needed basis. This role offers flexible hours for licensed investigators performing surveillance, SIU assignments, and other investigative tasks across designated areas. You...Flexible hours
- ...in the Town of Florida, New York, is seeking experienced Field Investigators to join our team on an "as needed" basis. This role offers flexible... ...will handle various investigations, such as Surveillance and SIU assignments, ensuring all reports are submitted timely and...Flexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join their team in the Town of Florida, NY. This role offers flexible hours... ...conduct various investigations, including surveillance and SIU assignments within assigned areas. The ideal candidate must possess...Immediate startFlexible hours
- ...DISTINGUISHING FEATURES OF THE CLASS: Under general supervision of the Chief Criminal Investigator and the Deputy Chief Criminal Investigator, incumbents conduct investigations of violations, actual or suspected, of the New York State Penal Law and other statutes, pro...Work at officeLocal area
- Loyalty MGA in Casselberry, FL is seeking a SIU Investigator for fraud detection and investigations. The role requires gathering evidence, interviewing, and coordinating with internal teams to prevent fraudulent claims. Hybrid work is available after probation. The ideal...Trial period
- ...Fraud Investigator II – Accounting & Finance, Vaco Overview We are seeking a Fraud Investigator II to join our Corporate Fraud Investigations and Security team. In this role, you will manage and investigate cases of internal and external fraud, including check, wire,...Full time
$28.13 - $29.79 per hour
...Since 1951, we’ve been committed to delivering financial services founded on integrity and a people-first philosophy. As a Fraud Investigator I , you will help protect the credit union and its members by investigating potential fraud, reviewing fraud cases, and...Hourly payTemporary workWork at officeLocal areaMonday to FridayFlexible hours2 days per week- ...Type: Full Time POSITION PURPOSE: Will support the detection, investigation, and prevention of healthcare fraud, waste, abuse, and payment... ...and recommend escalation to leadership, Legal, Compliance, or SIU functions when appropriate. Conduct advanced claims and billing...Full time
- ...Responsibilities Performs comprehensive analysis and clinical evaluation of the collected data Performs in-depth investigations on identified providers as warranted Examines claims for compliance with relevant billing and processing guidelines Review and conduct retrospective...
- ...Space Coast Credit Union (SCCU) is seeking a Fraud Investigator I to join our Miramar Operations Center. The role investigates potential fraud, reviews cases, and supports loss prevention while partnering with Legal, Compliance, and Operations to strengthen detection...Work at office
- J T Becker & Co Inc is seeking skilled Field Investigators to join their team in New York. This position offers flexible hours for licensed investigators, focusing on insurance claims investigations, including fraud and liability cases. The ideal candidate will conduct...Flexible hours
- Space Coast Credit Union invites applications for a Fraud Investigator I to protect members by investigating fraud, reviewing cases, and supporting loss prevention. The role partners with Legal, Compliance, and Operations to identify fraudulent activity and strengthen...
- ...JCPenney is seeking an Asset Protection professional to observe for theft, collect evidence, and conduct investigations across stores. The role includes documenting all stages, interviewing customers and contractors per policy, and reporting findings to AP leadership....For contractors
- ...Elevate is part of the Amrize family of brands. Visit ElevateCommercialBP.com to learn more. We're seeking a Warranty Claims Investigator who's ready to be part of a people-first company offering best-in-class products, exceptional training, and deep industry pride—...For contractorsRemote workFlexible hours
- Amrize Building Envelope is seeking a Warranty Claims Investigator to protect our interests by managing warranty claims across roofing systems. You will review data, determine repairs, communicate with owners, contractors, and lawyers, and prepare detailed claim tolerance...Remote jobFor contractors
$16.5 - $20.63 per hour
...Florida to support asset protection by observing activities to detect theft and fraud, following company policies, and conducting investigations. The role requires teamwork, safety awareness, and strong observational skills. Ideal candidates possess retail or security...Hourly pay$21.53 - $26.91 per hour
...with the world's most esteemed brands, Saks Global is shaping the future of luxury retail.**YOU WILL BE:**As an Asset Protection Investigator, you will work as a member of our Asset Protection team to prevent losses from external and internal theft and fraud. You will...Hourly payFull timeFlexible hours$107.7k - $199.3k
...workplace flexibility. Position Purpose Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory...Full timePart timeWork at officeRemote workFlexible hours$107.7k - $199.3k
...Centene Corporation in New York seeks a highly skilled individual to lead and manage complex internal investigations. This role requires exceptional judgment and the ability to guide senior management while ensuring compliance with federal and state regulations. The ideal...Remote work- MS&T Specialist - Deviations Investigator Location: Davie, FL | Shift: Monday - Friday 8:00am - 5:00pm | Duration: 6months | Temp to Perm: Possible based on performance and openings Position Summary This role leads and performs cGMP investigations supporting Oral Solid...Permanent employmentTemporary workImmediate startMonday to FridayShift work
- ...Salary table and will be augmented by locality pay as authorized for the duty location of the position. Duties Help Conducting investigations to ensure compliance with the CSA and its implementing regulations involving the procurement, manufacture, distribution,...Full timePart timeInterim roleWork at officeLocal areaRemote workRelocationRelocation package
- Civilian Traffic Investigator (Full Time) Location: Wildwood, FL The Sumter County Sheriff's Office provides response to all calls for service. However, some calls do not require a sworn officer and may be effectively handled by a non- sworn member. The Community Traffic...Full timeWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to SIU Investigator. Be the first to apply!
- remote investigator Florida, NY
- special investigator Florida, NY
- aml investigator Florida, NY
- case investigator Florida, NY
- insurance investigator Florida, NY
- corporate investigator Florida, NY
- credit investigator Florida, NY
- forensic investigator Florida, NY
- employee relations investigator Florida, NY
- compliance investigator Florida, NY

