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Kemper

SIU Expert Investigator

Reposted 3 Days Ago
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Remote
Hiring Remotely in TX
Mid level
Remote
Hiring Remotely in TX
Mid level
The SIU Investigator III investigates complex claims for potential fraud, coordinates investigations, documents actions, and trains new personnel.
The summary above was generated by AI

Location(s)

Remote-TX

Details

Position Summary:

The SIU Investigator III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These investigations may include multi-feature and attorney represented losses.  Basic functions include: Investigation of claims, analysis and development of facts and evidence, and conducting and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. The Special Investigator III will assist with mentoring new hires, special projects, training initiatives, and may be asked to fill in for the SIU Manager and provide work direction to other Special Investigators on a temporary basis. A laptop computer, printer, cell phone, MP3 recorder, and other office equipment will be provided.  

Position Responsibilities:

  • Uses appropriate field, computer, and telephone investigative techniques.
  • Documents all investigative actions in a thorough, timely, and appropriate manner.  
  • Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements.  
  • Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management.
  • Responsible for communicating critical situations to the Special Investigation Unit and field managers.  
  • Develops and maintains contacts with other Special Investigative Units and fraud related organizations.  
  • Routinely practices independent judgement and discretion
  • Must conform to the Unfair Claim Practices Act and Fraud Statutes of the state in which the claim is handled.  
  • Assists with training and keeps all technical personnel advised of changes to law, fraud indicators, and tools available to combat fraudulent or suspicious claims.
  • Performs all other duties as assigned.  

Position Requirements:

  • A minimum of four (4) years as a Special Investigator II or three (3) years as a Special Investigator II with FCLS, CIFI, or CFE certifications.
  • Excellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential.   
  • Must have a working knowledge of digital photo/document metadata and using the internet/social networking for investigative purposes.
  • 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.
  • Possess a valid driver’s license and must meet qualifications for a company vehicle under the Company’s Vehicle Policy.
  • Demonstrates effective and diplomatic oral and written communication skills.
  • Proficiency in using Microsoft products such as Outlook, Word, PowerPoint, and Excel.   
  • Sponsorship is not accepted for this position.

Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination. Kemper is focused on expanding our Diversity, Equity and Inclusion efforts to align with our vision, mission, and guiding principles.  

Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee.

Kemper will never request personal information, such as your social security number or banking information, via text or email.  Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates.  If you receive such a message, delete you receive such a message, delete it. 

Top Skills

Excel
Microsoft Outlook
Microsoft Powerpoint
Microsoft Word

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