SIU Support Specialist

Siu Support Specialist

The SIU Support Specialist is responsible for supporting the SIU and Claims departments by conducting research, analysis, and triage activities to identify, document, and escalate potential fraud, while ensuring accuracy, compliance, and effective coordination with investigative staff.

• Conducts comprehensive background investigations using public?record databases, online resources, and social media.
• Validates the accuracy and relevance of data gathered from multiple sources.
• Prepares detailed, timely, and accurate reports documenting investigative findings.
• Captures all investigative requests and triage actions within the SIU tracking system.
• Ensures adherence to all privacy, confidentiality, and compliance requirements.
• Supports investigators by gathering and analyzing claim, provider, and claimant information.
• Monitors internal and external data sources to proactively identify potential fraud and emerging patterns.
• Escalates suspicious activity to SIU leadership for review and follow?up.
• Coordinates with SIU and Claims staff to support effective and efficient case resolution.
• Manages sensitive and confidential information with discretion and sound judgment.
• Balances independent analytical work with active participation in collaborative investigative efforts.

Qualifications:

Minimum of one to three years of insurance experience

Knowledge of insurance claims handling processes

Prior experience conducting investigative work is preferred but not required

Education Requirement:

Associate's degree / Bachelor's degree preferred

Additional Requirements:

Location and Travel: Primary location Urbandale, IA. Additional locations: Miami, FL; Irving, TX.

Sponsorship Details:

Sponsorship not Offered for this Role