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Coaction Global · 3 weeks ago

SIU Claims Coordinator

Morristown, NJ

Full-time

Hybrid

Mid Level

$60K/yr - $90K/yr

3+ years exp

Coaction Global is a company focused on pushing the boundaries of insurance through a unique blend of expertise. The SIU Claims Coordinator will lead the Special Investigations Unit, ensuring the detection and prevention of fraudulent claims while maintaining compliance with regulations and collaborating with various teams to mitigate fraud risk.

Commercial InsuranceFinanceFinancial ServicesInsuranceInsurTechProperty Insurance

Comp. & Benefits

Responsibilities

Manage workflow, case assignments, and performance metrics to ensure timely and effective investigations

Establish and maintain investigative standards, protocols, and quality controls

Oversee the identification of suspicious claims through analytics, adjuster referrals, and external intelligence

Direct and support complex or high-exposure investigations

Where appropriate coordinate field investigations, interviews, scene inspections, surveillance, background and social media investigations and evidence collection

Ensure proper documentation and investigative reporting to support claim decisions and potential litigation

Maintain full compliance with all state SIU regulations, reporting requirements, and fraud registry submissions

Serve as the primary contact for state fraud departments, law enforcement, and regulatory agencies

Assist in preparing and submitting mandated annual SIU plans, training documentation, and statistical reports

Partner with Claims leadership to identify fraud trends and provide recommendations for process improvements

Work with Underwriting to communicate emerging fraud patterns, risk indicators, and underwriting controls

Support the Legal department in cases progressing to litigation or criminal prosecution

Coordinate and/or deliver fraud awareness training to adjusters, examiners, and other business units

Utilize data analytics tools to identify fraudulent patterns, emerging schemes, and abuse trends

Develop dashboards, reports, and KPIs to measure unit effectiveness and program impact

Present fraud insights and trends to executive leadership

Manage relationships with external investigative vendors, surveillance firms, forensic experts, and law enforcement

Evaluate vendor performance and ensure cost-effective use of external resources

Qualification

Insurance claims experienceInvestigative experienceFraud detection skillsData analytics toolsProfessional certificationsCommunication skillsTeam collaborationProblem-solving skills