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SIU Investigator I - REMOTE - Fort Myers, FL

Company: UPC Insurance
Location: Fort Myers
Posted on: November 17, 2021

Job Description:

Overview Have you been waiting for an opportunity to become a SIU Investigator for an elite SIU team? We are searching for a Property Claims Adjuster, with three years of Property Claims Adjusting experience, who would like to work in a Desk SIU Investigator role! Summary: A SIU Investigator provides specialized investigative and advisory services, particularly when claim or underwriting fraud is suspected; develops innovative and long-term fraud detection and prevention programs; and, supports public entities and other industry groups in prosecution of insurance fraud. NOTE: This position is eligible for remote work after training is completed, in accordance with UPC's Telecommuting / Remote Work Policy. Responsibilities * Demonstrates an ability to successfully investigate common fraud schemes and develops investigative strategies. * Reviews initial referrals, evaluates claim and underwriting information to identify appropriate resource and investigative strategies. * Develops and presents verbal and written investigative and management reports. * Serves as a resource to team members. Assists in the delivery of fraud awareness training initiatives throughout UPC Insurance. * Consistently manages workload to maximize capacity. Participates in planning and business meetings. * Acquires and applies a working knowledge of state laws and regulations pertaining to insurance fraud. * Identifies, establishes and cultivates external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection and prevention. Supervisory Responsibilities: None Qualifications * Three years of P&C claims adjusting experience. * Good analytical abilities to review, exercise judgment and evaluate information. * Very good understanding of the elements of intent, material misrepresentation, intentional acts, aggressive good faith, and jurisdictional immunity statutes. * Ability to work independently with self-initiative and limited direction. * Excellent communication skills; ability to obtain information from others and deliver information to others orally or in written form. * Excellent computer skills are needed due to multiple claim systems, investigative databases, and jurisdictional online reporting requirements. * Organization skills; Business math Skills; Business telephone skills. * Ability to carry out detailed written or verbal instructions; ability to respond to requests effectively and efficiently. Ability to work effectively without supervision and direction and exhibit good common sense. Education and/or Experience: * College degree is not a prerequisite for this position; however, incumbents should possess such skills and knowledge as are normally gained in the successful completion of a 4-year college program or equivalent experience. * Insurance coursework (I.e. IIA, FCLS, SCLA, CIFI), is beneficial. * On-going continuing education as required by state regulations. * Knowledge of claims handling, state laws, compliance requirements and insurance regulations. * Minimum of six months prior experience in compliance, regulation, SIU or an insurance-related field is beneficial. Competencies: * Possess a solid command of the claims/SIU policies and procedures; exhibits sound interpretation of polices & procedures in investigating and resolving claims. * Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint). * Must possess effective verbal and written communication skills. * Must perform well in high-energy, dynamic and team-oriented environments. * Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines. * Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization. * Demonstrate integrity with a professional environment. * Ability to adapt to new situations and learn quickly. Other Abilities/Skills: * Desire to seek industry certifications as needed.

Keywords: UPC Insurance, Fort Myers , SIU Investigator I - REMOTE - Fort Myers, FL, Accounting, Auditing , Fort Myers, Florida

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