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Kemper · 1 month ago

SIU Investigator

United States

Full-time

Remote

Mid, Senior Level

$60K/yr - $100K/yr

3+ years exp

Kemper is one of the nation’s leading specialized insurers, and they are seeking an SIU Investigator to conduct investigations of insurance claims. The role involves analyzing claims, coordinating with law enforcement, and ensuring compliance with state regulations.

ConsumerFinancial ServicesInsurance

Responsibilities

Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements

Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner

Maintains a diary system on all assigned files. Diary system is to be worked so that the tempo is sufficient to assure prompt and timely recommendations

Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised of all critical situations

Reports findings of all investigations and makes recommendations to the responsible manager or other designee in a timely manner to facilitate prompt decisions

Develops and maintains contacts with other special investigative units and fraud related organizations

Acquires and maintains current knowledge in all appropriate jurisdictions regarding changes in law to ensure operations are within proper parameters established by law

Qualification

Insurance claims investigationInvestigative techniquesLegal expertiseDigital photo metadataMicrosoft OfficeNetworking skillsReport writingState agenciesFraud investigation certificationsCommunication skills

Required

College Degree or equivalent work experience

Three years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or

Five years of professional investigation experience involving economic or insurance related matters; or an authorized medical professional to evaluate medical related claims

Must have a working knowledge of Digital photo and document metadata and have experience with using the internet and social networking for investigative purposes

The candidate must possess knowledge of the principles of casualty insurance and the auto casualty claims adjustment process

Investigative and legal expertise needed for this position

Must have excellent communication skills and thorough working knowledge of Microsoft office applications

Must demonstrate a thorough knowledge of the workings of related state and federal agencies

The SIU investigator must possess oral and written communications skills and promote a favorable company image to the public

A valid driver's license and clean driving record is required

Preferred

Completion of the NICB Basic and/or Advanced Academies and the Reid Interviewing and Interrogation Courses are desirable

Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred