SIU Specialist

Description:

Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.

Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.

About the role

• Under limited supervision of the Supervisor or SIU Manager, the SIU Specialist performs the essential functions of the position, which includes but is not limited to:

What you'll do

• Assist the claims department by performing tasks such as:
  • Social media investigations.
  • ISO and TransUnion database searches.
  • Vehicle locator searches
  • Vehicle history reports
  • Obtain phone records.
  • Credit checks
  • Background checks.
  • Other tasks as needed
• Investigate, evaluate, and resolve automobile claims in a timely and efficient manner;
• Handle all aspects of suspected fraudulent claims. This includes:
  • Suspicious vandalism claims
  • Suspicious vehicle theft claims.
  • Suspicious fire losses.
  • Suspicious injury claims.
  • Suspicious and suspected fraudulent coverage investigations
  • Any other suspicious claims.
• Submit eFD-1 reports to the CA DOI Fraud Bureau.
• Document investigations, evaluations, recommendations, and plans of action;
• Ensure ongoing adjudication of claims within company standards, industry best practices, and all state and federal regulations;
• Comply with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follow Aspire General Insurance Company/partner's policies, procedures and work rules;
• Produce grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation;
• Regular and predictable punctuality and attendance
• Attend fraud-related presentations/seminars/meetings and inform the company management of important information learned at these events. Give SIU presentations to company personnel.
• Maintain a spreadsheet of persons and entities who have NICB Alerts pertaining to them.
• Conduct periodic checks of the inventory of claims for suspicious activity or suspicious persons or organizations.
• When necessary, work with District Attorneys, law enforcement, Dept of Insurance, and NICB personnel in the investigation of suspicious claims.
• On occasion, conduct field investigation assignments.
• Serve as a resource for the claims department to utilize for assisting with their investigations.
• Other duties as necessary.

Requirements:

• Three or more years of experience in the Property and Casualty insurance industry handling automobile claims;
• Must have a clear understanding of insurance industry practices, standards, and terminology;
• Experience handling both auto property damage and injury claims is recommended;
• Must be able to pass a background check;
• Must have a disciplined approach to all job-related activities;
• Must have a solid foundation of personal organization, sound decision-making and analytical skills, and strong interpersonal and customer service skills;
• Ability to work in a fast-paced environment while managing multiple priorities simultaneously;
• Ability to achieve targeted performance goals.

Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays

Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

*Dependent on plan selected