Claim Processor Work from home

The SIU Investigator is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims and auto property matters to simpler application fraud issues. Performs field work and coordinates efforts with industry fraud units, claim personal, counsel, law enforcement and agencies. May conduct fraud awareness training and/or investigate research. The individual will work in the field and be provided a company issued computer, phone and vehicle.

Good file analyses/decision making when reviewing file documentation.

Will attend a minimum of three days of formal training a year.

Will participate in conducting fraud awareness training to company associates.

Network with law enforcement and other investigators within the SIU Industry.

Bachelor's Degree in Criminal Justice or

Strong Computer Skills (Microsoft Excel, Word, Access and Outlook)

Strong verbal and writing skills

Working knowledge of Home and Auto Policies

Bi-lingual in Spanish would be preferred, but not necessary

Knowledge of big data (link analysis, predictive modeling tools etc... not mandatory but preferred).

Knowledge of medical terminology and treatment plans

Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays

• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
• Robust health and wellness program and fitness reimbursements
• Tuition Reimbursement

The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts.