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SIU Desk Investigator - Tampa

AAMGA AssuranceAmerica Managing General Agency, LLC

Our Company At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do. This is an opportunity to join a dynamic team in a company that is a leader in the non-standard auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims. The Desk Investigator conducts low to moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and injury claims. The Desk Investigator plans, prioritizes, and executes investigative assignments, including backgrounds, interviews, and Examinations Under Oath. The Investigator is responsible for analytical review of suspicious claims utilizing various investigative methods and techniques. The investigator must evaluate relevant information essential in resolving suspicious and complex investigations. This position requires demonstrated effectiveness in the understanding and application of legal and claim principles. The Investigator should have a working understanding of coverage and or personal injury protection coverage. This is an in‑office position, and only candidates currently living in the greater Tampa area will be considered. Relocation assistance is not available for this position. Job Responsibilities The primary role of the desk investigator will be to conduct Examinations Under Oath and report the findings of same. Claims investigations to include statements, document analysis/verification, damage analysis. Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch. Must ensure compliance with industry and company policies. Must understand regulatory / statutory requirements; develops and maintains knowledge of changes in law both at state and national levels. Properly utilizes our claims and other various systems. Attends industry meetings to identify industry trends. Completes individual weekly investigator report to manager. Attends and participates in team meetings, roundtables. Actively affiliates and maintains network of SIU, claims, law enforcement, attorney, and related contacts to ensure investigation methods are current and proper operating procedures are utilized. Responsible for meeting individual goals and objectives. Maintains consistent, fair, and diplomatic interactions with co‑workers. Performs other duties as assigned by SIU Manager. Formal Education & Certification Bachelor's degree in criminal justice, finance, business administration, or related field. Previous experience in insurance claims investigation, fraud detection, or law enforcement helpful. Florida Insurance Adjusters License required within 90 days of employment. Experience: 2 years of prior SIU Investigator or claims handling experience. Skills & Competencies Insurance knowledge: solid understanding of insurance principles, policies, and regulations, including property, casualty, life, underwriting practices, and claims processing procedures. Attention to detail: review large volumes of information such as policy terms, coverage limits, and claim documentation. Organizational skills: ability to manage multiple cases and prioritize tasks. Problem‑solving abilities: identify issues, consider alternative solutions, and make sound recommendations. Communication skills: strong verbal and written communication, explaining complex insurance concepts to stakeholders. Interviewing skills: proficiency in conducting effective interviews. Customer service orientation: provide excellent customer service, building trust and satisfaction. Ethical conduct: integrity, confidentiality standards, and professional codes of conduct. Adaptability: ability to adapt to regulatory and market changes. Teamwork and collaboration: work effectively with underwriters, actuaries, claims adjusters, and other professionals. Time management: manage multiple tasks, deadlines and priorities. Continuous learning: commitment to professional development, certifications, or networking. Company Information We strive for excellence in how we serve our policy holders and agents, and have since we opened our doors in 1998. We believe in creating a culture where all associates have a chance to learn and grow. We also take part in directing 5% of our earnings to fight homelessness, which gives hope with every policy purchased. Equal Opportunity Employer Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. This job description does not represent a contract of employment. Employment with AssuranceAmerica is at‑will. The at‑will relationship can be terminated at any time, with or without reason or notice by either the employer or the associate. #J-18808-Ljbffr AAMGA AssuranceAmerica Managing General Agency, LLC

Vacancy posted 3 days ago
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