Essential Duties and Responsibilities:

• Analyze results of investigations to determine course of action; documents activities of injury and material damage claims handling practices.
• Conduct in-person interviews and obtain detailed in-person recorded statements from all involved parties.
• Request, prepare, document, conduct examinations under oath and/or sworn statements including those involving attorney and/or public adjuster representation.
• Conduct thorough searches using insurance investigative databases, internet resources, and public records to locate parties and collect evidence to determine if potential fraud exists.
• Obtain, evaluate and summarize law enforcement reports, public records, credit reports, and affidavits in relation to losses including documentation from required parties in accordance to state and federal regulations.
• Provide synopsis of investigative findings through written reports and recommends whether to take further action.
• Conduct neighborhood canvases and on-scene examinations to include diagrams, measurements and documentation of damages reported.
• Analyze photos to investigate alleged damages in relationship to loss.
• Testify at depositions, hearings and trials.
• Develop and maintain a rapport with local information networks to include law enforcement, vendors, other insurer claim and SIU representatives, and industry experts.
• Develop and respond to requests for information to and from external SIU/authorities under appropriate statutes.
• Report incidences of insurance fraud to authorities in accordance with state laws.
• Review fire claims and coordinate origin and cause investigations based on the characteristics of the fire event.
• Communicates with co-workers, management, clients, vendors, and others as needed in a courteous and professional manner.
• Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.
• May perform other duties and responsibilities as assigned.

Job Qualifications:

• Associate’s Degree required; Bachelor’s Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree.
• 620 License required.
• Detail-oriented with strong organizational skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently.
• Demonstrated ability to manage relationships with both internal and external customers.
• Demonstrated ability to work effectively under pressure and within a collaborative team oriented environment using sound judgment in decision-making.
• Excellent communication skills both oral and written with strong analytical skills to effectively investigate suspected insurance fraud.
• Excellent customer service and solid negotiation skills.
• Demonstrated proficiency with Microsoft Office products (Excel, PowerPoint, and Word) and claims related software programs.
• Demonstrated knowledge of coverage, policy interpretation, exposure recognition and liability determination to analyze and move investigations forward.
• Understands and able to interpret property damage and bodily injury claims terminologies and processes.
• Must be able to travel daily within assigned geographical areas.
• Ability to develop and present fraud related training programs.
• Ability to work with minimal supervision and manage an active caseload.
• Demonstrated customer service focus / superior customer service skills.
• Demonstrated customer service focus / superior customer service skills.
• Investigative experience.
• Ability to use public record systems and/or claims databases to support investigations.
• Detail-oriented and exceptionally organized.
• Proficiency in establishing, documenting, and pursuing appropriate investigative strategies.
• Ability to climb, kneel, and crawl required; may work in confined spaces.
• Ability to stand for extended periods of time, up to three hours.
• Ability to lift and move items up to thirty lbs. alone; more with assistance from a partner.
• Ability to work in exterior and non-conditioned environments.