SIU Senior Investigator

About the role

Referrals range from moderate to high complexity and often involve several parties. Investigators gather evidence, document each step and decide whether a claim should be paid, compromised or denied.

At a glance

What you will do

• Investigate fraud referrals, including organised ring activity, and review related claim and policy files
• Take statements, research public records and social media, and attend examinations under oath
• Write reports and evidence packets for counsel, fraud bureaus and law enforcement
• Track fraud trends and give anti-fraud training to internal and external audiences

What they look for

• A bachelor's degree in business, insurance, criminal justice or a related field, or equal experience
• Five years in claims adjusting, investigation or insurance
• Willingness to earn the Fraud Claim Law Specialist designation within the first year
• Strong written reports and clear communication with many parties

Nice to have

• Prior property and casualty experience
• Insurance designations such as INS or AIC

A typical week

• Reviewing referrals and pulling claim, underwriting and audit files
• Interviewing insureds, claimants and witnesses and taking statements
• Researching backgrounds and documenting each investigative step
• Updating branch staff, counsel and law enforcement on case status