Job Description

The SIU Desk Investigator I is responsible for the investigation of simple claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations may include single exposure losses and non-represented PIP/Med Pay claims. A Special Desk Investigator I may also handle task-based items including but not limited to EDR pulls, vehicle inspections at drive in locations, skip traces, and initial background investigation. Position Responsibilities include using appropriate field, computer, and telephone investigative techniques; documenting all investigative actions in a thorough, timely, and appropriate manner; attending necessary training schools and participating in training to develop and improve skills, developing contacts, and meeting state regulatory educational requirements; preparing necessary reports for state fraud bureaus and cooperating with state agencies as required by law and management; communicating critical situations to the Special Investigation Unit and field managers; developing and maintaining contacts with other Special Investigative Units and fraud related organizations; routinely practicing independent judgement and discretion; conforming to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled; and performing all other duties as assigned. Position Qualifications include a minimum of two years claims handling experience and demonstrated ability to recognize and handle suspicious claims activity; excellent written and verbal communication skills; thorough working knowledge of computers; ability to type proficiently and operate efficiently in a modern “paperless” environment; bilingual in Spanish preferred; proficiency in Microsoft Outlook, Word, PowerPoint, and Excel; and sponsorship is not accepted for this opportunity.

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