SIU Support Specialist

SIU Support Specialist

The SIU Support Specialist will be responsible for conducting background investigations through the research, analysis, and interpretation of public record databases, online data sources, and social media to support SIU and Claim departments. In addition to these responsibilities, the Specialist serves as the central triage point for incoming SIU referrals, reviewing each referral for completeness, assessing initial fraud indicators, assigning priority based on established criteria, and routing matters appropriately to investigative staff. The role also encompasses proactive fraud detection through monitoring of internal claim activity, system alerts, data anomalies, and emerging patterns that may indicate fraud risk.

The Company is an equal employment opportunity employer.

Responsibilities

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

Competencies:

Advanced problem solving and research skills Ability to extract data and cross reference resources Strong knowledge of third-party public record databases, social media, and search engines Knowledge of privacy regulations and compliance requirements Dedicated to meeting the expectations of internal and external customers Proficiency with MS Office products Ability to be flexible and multi-task Strong organizational and prioritization skills Ability to properly handle sensitive and confidential information Ability to work both independently and in a team environment Demonstrates a strong work ethic with a positive attitude Excellent verbal and written communication skills

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