SIU Claims Investigator

A company is looking for a Claims Property Adjuster Special Investigations Unit (SIU) Investigator - Consultant II. Key Responsibilities Conducts thorough investigations of highly complex, multi-discipline claims and Excess Coverage Liability (ECL) claims that are potentially fraudulent to determine if payment is warranted Utilizes analytic tools or SIU field intelligence to identify highly complex claims for investigation and / or for support in the evidence of the fraud and damages Summarizes documents and enters into claim system notes, documenting a claim file with notes and evaluations Required Qualifications Experience in claims investigation and analysis Knowledge of fraud detection and prevention techniques Ability to conduct thorough background searches and scene investigations Experience with analyzing medical notes, bills, and property damage Familiarity with documenting claims and summarizing findings in a claims system