AmTrust Financial
SIU Investigator
AmTrust Financial, Melville, New York, us, 11775
SIU InvestigatorJob Locations:
US-United States
Requisition ID:
2024-17442
Category:
Claims - Workers Compensation
Position Type:
Regular Full-Time
OverviewThe SIU Investigator will review and investigate referrals to AmTrust SIU to identify any suspicious indicators to evaluate for the potential of insurance fraud (perpetrated by claimants, insured, agents, brokers, providers). The SIU Investigator will be responsible for all Desktop Investigative activities related to the investigation of the file, communication with Law Enforcement, Departments of Insurance and other Carriers. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization.
Responsibilities
Evaluate investigative referrals to determine if suspicious elements are present and justify an SIU investigation.
Collaborate closely with underwriting, audit and claims personnel to evaluate all aspects of a referral and determine an investigative path, documenting the investigative plan.
Conduct Investigative/Fraud related training to meet regulatory requirements or other related topics.
Track and document all investigative activities and results.
Conduct in-depth investigative searches via designated tools, and conduct telephonic investigations to develop facts in all cases.
Provide professional, timely and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues pertaining to SIU and investigative referrals.
Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud.
Monitor completed investigations for impacts and prosecutorial judgments.
Keep current with market trends and demands.
Perform other functionally related duties as assigned.
QualificationsRequired:
An Associate's or Bachelor's degree in criminal justice or a related field from an accredited college or university OR 5+ years of insurance claims investigation experience OR professional investigation experience with law enforcement agencies OR 7+ years of professional investigation experience.
Demonstrated experience with commercial casualty, property, automobile, and workers' compensation insurance products.
Demonstrated ability to interpret and analyze large amounts of data and make informed, calculated decisions.
Respect for confidential information.
Excellent organizational, leadership, communication, and time management skills.
Preferred:
Provided fraud experience is strongly preferred.
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
What We OfferAmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!Not ready to apply? Connect with us for general consideration.
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US-United States
Requisition ID:
2024-17442
Category:
Claims - Workers Compensation
Position Type:
Regular Full-Time
OverviewThe SIU Investigator will review and investigate referrals to AmTrust SIU to identify any suspicious indicators to evaluate for the potential of insurance fraud (perpetrated by claimants, insured, agents, brokers, providers). The SIU Investigator will be responsible for all Desktop Investigative activities related to the investigation of the file, communication with Law Enforcement, Departments of Insurance and other Carriers. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization.
Responsibilities
Evaluate investigative referrals to determine if suspicious elements are present and justify an SIU investigation.
Collaborate closely with underwriting, audit and claims personnel to evaluate all aspects of a referral and determine an investigative path, documenting the investigative plan.
Conduct Investigative/Fraud related training to meet regulatory requirements or other related topics.
Track and document all investigative activities and results.
Conduct in-depth investigative searches via designated tools, and conduct telephonic investigations to develop facts in all cases.
Provide professional, timely and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues pertaining to SIU and investigative referrals.
Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud.
Monitor completed investigations for impacts and prosecutorial judgments.
Keep current with market trends and demands.
Perform other functionally related duties as assigned.
QualificationsRequired:
An Associate's or Bachelor's degree in criminal justice or a related field from an accredited college or university OR 5+ years of insurance claims investigation experience OR professional investigation experience with law enforcement agencies OR 7+ years of professional investigation experience.
Demonstrated experience with commercial casualty, property, automobile, and workers' compensation insurance products.
Demonstrated ability to interpret and analyze large amounts of data and make informed, calculated decisions.
Respect for confidential information.
Excellent organizational, leadership, communication, and time management skills.
Preferred:
Provided fraud experience is strongly preferred.
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
What We OfferAmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!Not ready to apply? Connect with us for general consideration.
#J-18808-Ljbffr