GAINSCO · 16 hours ago
SIU Auto Insurance Field Investigator- PA
Philadelphia, PA
Full-time
Onsite
Mid, Senior Level
4+ years expGAINSCO Auto Insurance is a company dedicated to innovation and recognizing employee contributions. They are seeking a skilled SIU Field Investigator to identify and prevent fraudulent claims through thorough investigations and collaboration with various stakeholders.
Auto Insurance
No H1B
Responsibilities
Conduct thorough investigations of suspicious claims, including background checks, public record searches, and field interviews
Personally inspect vehicles, medical clinics, and accident scenes; collect evidence and take recorded statements
Perform Examinations Under Oath (EUO) and canvass neighborhoods for additional information
Use antifraud technology and investigative strategies to proactively identify questionable claims and initiate SIU referrals
Work closely with adjusters and internal departments to share findings and coordinate investigative efforts
Communicate with law enforcement, the National Insurance Crime Bureau (NICB), and regulatory agencies
Provide training and guidance to claims staff on fraud indicators and investigative best practices
Deliver timely updates and maintain detailed documentation in compliance with company and regulatory standards
Ensure investigations are conducted within legal and regulatory timelines
Stay current on industry trends, fraud schemes, and state-specific regulations
Report systemic issues or process gaps that impact the customer experience or claim outcomes
Qualification
Required
High School Diploma or Equivalent
An active Texas or Florida Adjuster License will be preferred to comply with state and GAINSCO requirements
Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained
All licenses must be maintained in accordance with state requirements
Minimum of 4 years of auto insurance claims experience required
Minimum 3 years of investigative experience required
Excellent verbal and written communications skills
Ability to manage your own time while prioritizing multiple tasks
Ability to remain calm when dealing with difficult customers
Effective negotiating skills
Ability to gather and analyze information in order to evaluate results and choose the best solution to the problem
Preferred
CFE (Certified Fraud Examiner) or CIFI (Certified Insurance Fraud Investigator) certification is a plus
Preferred insurance handling experience for the states of: VA, MD, PA, NJ, OH, IL, FL, TX, UT, AL
Bilingual (English/Spanish) preferred
Occasional weekend work may be required
Field-based role with travel required. Preferred candidate location is Pennsylvania
Benefits
Medical & dental
Vision insurance
Life insurance
Short term and long term disability insurance
Parental Leave Policy
401K + Company Match
PTO + Paid Company determined Holidays
Company
GAINSCO
GAINSCO Auto Insurance® is a property and casualty insurance company concentrating on the non-standard personal auto insurance market, specializing in minimum-limits personal auto insurance.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2011-02-02IPO
Leadership Team
Dan Svob
Chief Financial Officer
Phillip West
Senior Vice President & CIO
Company data provided by crunchbase