SIU Investigator

Posted on Oct 10, 2024 by Plymouth Rock Assurance
New York County, NY
Health & Safety
Immediate Start
Annual Salary
Full-Time
Overview:

SIU Investigator 

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. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work and coordinates efforts with industry fraud units, claim personal, counsel, law enforcement and agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. 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. 

Essential Functions and Responsibilities

Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.

Good File analyses/decision making when reviewing file documentation.

Maintain diary to meet requirements for status reports on all investigations.

Successfully completes investigation addressing all referral issues.

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.

Adhere to privacy guidelines.

Cover large geographic areas.

Complete accurate monthly reports and submit to supervisor timely

Qualifications and Education

Prior P&C SIU experience preferred

Individual must have one of the following:

Bachelor’s Degree in Criminal Justice or

An Associate’s Degree plus a minimum of two years experience with insurance related employment.

A minimum of five years of experience within the insurance industry.

A minimum of five years of law enforcement experience.

Valid New York Drivers License

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

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

Knowledge of medical terminology and treatment plans

Salary Range: $62,000 - $90,000 

About the Company

The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 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 1,800 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

#LI-DNI

Reference: 203993775

https://jobs.careeraddict.com/post/96082761

SIU Investigator

Posted on Oct 10, 2024 by Plymouth Rock Assurance

New York County, NY
Health & Safety
Immediate Start
Annual Salary
Full-Time
Overview:

SIU Investigator 

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. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work and coordinates efforts with industry fraud units, claim personal, counsel, law enforcement and agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. 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. 

Essential Functions and Responsibilities

Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.

Good File analyses/decision making when reviewing file documentation.

Maintain diary to meet requirements for status reports on all investigations.

Successfully completes investigation addressing all referral issues.

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.

Adhere to privacy guidelines.

Cover large geographic areas.

Complete accurate monthly reports and submit to supervisor timely

Qualifications and Education

Prior P&C SIU experience preferred

Individual must have one of the following:

Bachelor’s Degree in Criminal Justice or

An Associate’s Degree plus a minimum of two years experience with insurance related employment.

A minimum of five years of experience within the insurance industry.

A minimum of five years of law enforcement experience.

Valid New York Drivers License

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

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

Knowledge of medical terminology and treatment plans

Salary Range: $62,000 - $90,000 

About the Company

The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 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 1,800 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

#LI-DNI

Reference: 203993775

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