Sr SIU Investigator jobs in United States
cer-icon
Apply on Employer Site
company-logo

American National · 6 days ago

Sr SIU Investigator

American National is a subsidiary of Brookfield Wealth Solutions, focused on wealth protection and retirement services. The Senior SIU Investigator leads complex investigations into suspected insurance fraud, collaborates with various departments and external agencies, and mentors other investigators while developing fraud prevention initiatives.

Auto InsuranceFinancial ServicesHealth CareHealth InsuranceInsuranceLife Insurance
badNo H1Bnote

Responsibilities

Oversees a caseload of complex claims and underwriting investigations, exercising elevated reserve authority beyond that of SIU Investigator
Conducts comprehensive policy analysis, including coverage and exclusion reviews, followed by in-depth investigations to accurately assess exposure
Leads the management of litigation claims across all lines of business for both personal and commercial claims
Independently determines and sets strategic claim reserves to ensure accurate financial forecasting and risk mitigation
Develops and coordinates litigation strategies with defense counsel that balance cost-efficiency with optimal outcomes for the company and insureds
Evaluates complex bodily injury, property damage, and contents claims, including calculation of past/future medical expenses, wage loss, and personal injury valuations; engages expert consultants when necessary
Exercises sound judgment in daily decision-making, balancing investigative outcomes with financial exposure and operational impact
Represents the company in legal proceedings, including court-ordered mediations, depositions, and trials
Champions fraud awareness initiatives by developing and delivering training presentations to internal teams across departments
Identifies opportunities for discovering fraudulent activity by insureds, claimants, providers through investigative handling
Prepares comprehensive investigative summaries for leadership and external agencies, including law enforcement, departments of insurance, fire marshals, National Insurance Crime Bureau and the Attorney General’s office
Builds cross-functional partnerships with internal departments to enhance investigative outcomes and promote enterprise-wide fraud prevention strategies
Fosters a positive workplace environment by promoting open communication, mutual respect, and cross functional collaboration across teams and departments
Provides mentorship and guidance to SIU Investigators fostering professional growth

Qualification

Insurance fraud investigationClaims analysisLitigation managementPolicy analysisFraud prevention initiativesMentorshipCross-functional collaboration

Required

Bachelor's degree
Six to eight years of experience
Supervisory/management experience not applicable

Preferred

Law enforcement or prior investigative background preferred

Benefits

Health
Dental
Vision
401(k) with company match
Paid time off
Professional development opportunities

Company

American National

company-logo
American National is an insurance company that provides life insurance, health insurance, and auto insurance services.

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-08-09Acquired

Leadership Team

M
Matthew Ostiguy
Senior Vice President, P&C Chief Operating Officer, American National Insurance Company
linkedin
Company data provided by crunchbase