Summit
Senior Special Claims Investigator (Illinois Field)
Summit, Peoria, IL
Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees.
Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast.
Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.
Job Description
It's one thing to know workers' comp. It's another to know people. But knowing both? That creates an altogether different experience.
So, if you're ready for an altogether different workplace experience, get to know the people who know workers' comp. Apply today.
Essential Job Functions and Responsibilities
#LI-FIELD
Job Requirements
Education: Bachelor's Degree or equivalent experience.
Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
Experience: Generally, 6 to 10 years of related experience, including Criminal Investigation or Fraud Detection experience. Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.
Company:
SCI Summit Consulting, LLC
Salary Range:
$0.00 -$0.00
Benefits:
The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.
Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.
Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast.
Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.
Job Description
It's one thing to know workers' comp. It's another to know people. But knowing both? That creates an altogether different experience.
So, if you're ready for an altogether different workplace experience, get to know the people who know workers' comp. Apply today.
Essential Job Functions and Responsibilities
- Conducts specific investigations for claims cases:
- Investigates all suspect fraud referrals.
- Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
- Identifies trends and patterns of suspected fraudulent activity.
- Personally handles field investigations or assigns field work (i.e., surveillance, statements, etc.) to independent investigation firms.
- Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.
- Prepares investigation reports and detailed comprehensive reports. Evaluates claims and recommends courses of action to management.
- May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
- May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
- Performs routine searches and prepares standard reporting, utilizing databases and technology that support investigations:
- Participates in identifying enhancements to improve performance and functionality of technology applications.
- May participate in testing the application.
- Provides technical advice to lower level positions and other functional areas.
- May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
- Performs other duties as assigned.
- The individual hired for this field position will manage the Illinois territory
#LI-FIELD
Job Requirements
Education: Bachelor's Degree or equivalent experience.
Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
Experience: Generally, 6 to 10 years of related experience, including Criminal Investigation or Fraud Detection experience. Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.
Company:
SCI Summit Consulting, LLC
Salary Range:
$0.00 -$0.00
Benefits:
The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.
Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.