[Hiring] SIU Investigator @Kemper

Role Description

The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working from her/his residence and servicing the Houston and surrounding areas. Basic functions include:

• Investigation of claims
• Analysis and development of facts and evidence
• Conducting and/or directing Examinations Under Oath
• Coordinating investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies

A laptop computer, cell phone, digital camera, MP3 recorder, and other office equipment will be provided. Applicants must have the ability to travel.

Qualifications

• College Degree or equivalent work experience
• Three years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or
• Five years of professional investigation experience involving economic or insurance-related matters; or an authorized medical professional to evaluate medical-related claims
• Must have a working knowledge of Digital photo and document metadata
• Experience with using the internet and social networking for investigative purposes
• Knowledge of the principles of casualty insurance and the auto casualty claims adjustment process
• Investigative and legal expertise needed for this position
• Completion of the NICB Basic and/or Advanced Academies and the Reid Interviewing and Interrogation Courses are desirable
• Excellent communication skills and thorough working knowledge of Microsoft Office applications
• Thorough knowledge of the workings of related state and federal agencies
• Oral and written communications skills to promote a favorable company image to the public
• Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred
• A valid driver’s license and clean driving record is required

Requirements

• Attends necessary training schools and participates in training to develop and improve skills
• Investigates files using appropriate field, computer, and telephone investigative techniques
• Maintains a diary system on all assigned files
• Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management
• Keeps the Special Investigation Unit and field managers advised of all critical situations
• Reports findings of all investigations and makes recommendations to the responsible manager or other designee in a timely manner
• Develops and maintains contacts with other special investigative units and fraud-related organizations
• Acquires and maintains current knowledge in all appropriate jurisdictions regarding changes in law

Benefits

• Medical, Dental, Vision
• PTO
• 401k