SIU Investigator

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a SIU Investigator based in United States.

This role offers the opportunity to apply investigative expertise to identify and prevent insurance fraud while supporting fair claim outcomes.
You will analyze complex claims, gather evidence, and uncover critical details through research, interviews, and investigative techniques.
Working with claims professionals and external partners, you will help protect customers and improve the integrity of claim decisions.
The position is ideal for a detail-oriented professional who enjoys problem-solving, critical thinking, and following facts to meaningful conclusions.
You will manage complex investigations from initial review through resolution while maintaining accurate documentation and strong communication.
This remote opportunity provides a collaborative environment where your analytical skills directly contribute to protecting people and businesses.

Accountabilities:

The SIU Investigator will conduct thorough investigations of potentially fraudulent claims, analyze evidence, and support accurate claim resolutions through strong investigative practices. Key responsibilities include:

• Investigate moderately complex and highly complex insurance claims where potential fraud indicators have been identified.
• Review claim files, analyze documentation, and summarize findings clearly within claim management systems.
• Conduct interviews with claimants, witnesses, and relevant parties to gather accurate information and support investigations.
• Perform background research, scene investigations, inspections, surveillance activities, and social media reviews when appropriate.
• Validate information obtained during investigations and pursue additional leads to determine claim accuracy.
• Evaluate investigation results to determine whether fraud can be substantiated and whether further action is required.
• Review fraud-related outcomes and confirm whether claim decisions, including potential denials, are supported by evidence.
• Collaborate with claims professionals, vendors, and internal teams to resolve complex cases.
• Manage vendor relationships and monitor external partner performance during investigative activities.
• Maintain detailed investigation records, update case systems, and communicate outcomes effectively.
• Pursue restitution opportunities when appropriate and return non-fraud cases for continued claims handling.

Requirements:

The ideal candidate combines insurance claims expertise, investigative ability, and strong analytical judgment to manage complex fraud investigations effectively. Required qualifications and skills include:

• Experience in insurance claims, investigations, fraud detection, or a related field.
• Strong preference for candidates with auto claims experience and experience managing claims throughout the full claim lifecycle.
• Ability to analyze complex information, identify inconsistencies, and connect details across multiple sources.
• Strong critical thinking and problem-solving skills with the ability to make sound decisions.
• Experience conducting interviews, reviewing documentation, and gathering evidence.
• Strong organizational skills with the ability to manage multiple investigations and priorities.
• Excellent written and verbal communication skills for documenting findings and collaborating with stakeholders.
• Attention to detail and ability to maintain accurate investigation records.
• Ability to work independently while effectively partnering with internal teams and external vendors.
• Knowledge of insurance claims processes, fraud indicators, and investigative best practices is preferred.

Benefits:

The role offers competitive compensation and resources designed to support professional success and remote work flexibility, including:

• Annual salary ranges based on experience and qualifications:
  • SIU Analyst III: $53,500 - $77,800 USD.
  • SIU Consultant I: $60,000 - $87,400 USD.
  • SIU Consultant II: $62,100 - $92,700 USD.
  • SIU Senior Consultant I: $68,500 - $104,100 USD.
• Potential additional compensation components, including incentive pay or bonuses where applicable.
• Fully remote work opportunity.
• Comprehensive technology setup, including laptop, monitors, headset, keyboard, and mouse.
• Monthly connectivity reimbursement for eligible remote employees.
• Opportunity to develop investigative expertise and contribute to meaningful fraud prevention initiatives.
• Collaborative environment focused on innovation, accuracy, and customer protection.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?


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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.