[Hiring] SIU Specialist @Root Insurance

Role Description

We are looking for an SIU Specialist. In this role, you will use deep SIU and fraud investigation experience to proactively identify emerging fraud trends, complex schemes, and connections across claims, policies, providers, agents, individuals, vehicles, and other entities.

Our perfect candidate understands how sophisticated insurance fraud develops, can recognize patterns that may not be visible within a single claim, and knows how to turn investigative intelligence into actionable leads. This role will partner closely with Data Analytics while remaining rooted in SIU expertise and investigative judgment.

Salary Range: $96,000 - $110,000

Root is a “work where it works best” company. Meaning we will support you working in whatever location that works best for you across the US. We will continue to have our headquarters in Columbus, Ohio.

Qualifications

• Minimum of 10+ years of experience in insurance SIU, fraud investigation, or complex investigations
• Strong knowledge of automobile insurance fraud and organized fraud schemes
• Experience with either SQL or Python preferred
• Demonstrated ability to identify relationships and patterns across multiple claims, policies, people, providers, or businesses
• Experience partnering with Data Analytics or technical teams to evaluate complex data
• Strong understanding of laws, statutes, regulations, and investigative practices related to fraud handling
• Experience with complex medical provider fraud, organized fraud rings, or multi-claim investigations preferred
• Fraud-related certification such as FCLS, CFE, CPCU, or similar preferred

Requirements

• Proactively identify emerging fraud trends, organized schemes, and suspicious relationships across Root’s book of business
• Develop investigative hypotheses and partner with Data Analytics to evaluate patterns across claims, policies, providers, agents, vehicles, payments, and other related entities
• Validate identified patterns through claim review and investigative research before recommending further action
• Develop high-quality investigative leads involving organized fraud, medical provider fraud, application fraud, agent-related concerns, and other complex schemes
• Gather and evaluate fraud intelligence from NICB, peer carriers, law enforcement, counsel, vendors, and other industry sources
• Review internal controls and relevant employee activity or data to determine whether additional SIU investigation may be warranted
• Translate investigative findings into improvements to referral criteria, claim handling, underwriting controls, training, and fraud prevention efforts
• Provide technical investigative guidance and support complex or multi-claim investigations

Company Description