Field Investigator - SIU

Employer
Windhaven Insurance
Location
Miami, Florida
Salary
$50,000 - $74,999
Posted
Oct 22, 2019
Closes
Dec 02, 2019
Ref
6418535#GIJtoGJS.2
Industry
Insurance
Category
Insurance

At Windhaven Insurance we are always looking for A-players who want a challenge. Are you a driven person who wants to achieve great feats of growth in an environment that feels more like a successful start-up than an insurance company? Then you might be a future Windy.

We are a successful, growing Property & Casualty Insurance group of companies headquartered in Miami, Florida; and we are looking for an experienced SIU Investigator to join our team.  

The SIU Investigator is a full-time position in our Special Investigation Unit.  The ideal candidate will have 5+ years of insurance P&C claim adjusting experience, and will assist in identifying suspected fraud claims, reviewing claim documents, developing and recommending investigative actions, and performing all field follow-up investigation.  The position is based in our Tampa offices and requires travel in the local area. 

The SIU division encompasses complex claims investigations, suspicious and fraudulent claims investigation, reports to and coordination with law enforcement or state fraud bureaus for regulatory compliance and criminal prosecutions, and corporate investigations. The SIU Investigator also conducts training sessions for adjusters, supervisors and other staff on anti-fraud and claim related topics.  

Responsibilities:

  • Field investigation on suspected fraud cases
  • Investigative consulting on designated SIU client claim files
  • Conduct Fraud Awareness training for client offices
  • Assist with presentations of potential criminal cases to DA/DOI
  • Conduct Examinations Under Oath, clinic inspections, etc. in effort to fight fraud
  • Traveling in local region will be up to 70%.

Qualifications and Requirements: 

  • 5+ years insurance claims experience, with special consideration given to those with field adjusting experience in Auto Liability or PIP and Home Owner areas. 
  • Previous SIU experience is a plus
  • Bilingual - Spanish preferred
  • Ability to review and analyze medical reports, identify suspected fraud
  • Experience in investigation of homeowner claims 
  • Strong interpersonal skills, including significant interviewing experience to take in-depth and detailed recorded and written statements
  • Strong computer skills using Word, Excel, Power Point and Outlook. Ability to learn new software
  • Bachelor’s degree preferred
  • Substantial insurance industry SIU and technical insurance investigative experience may be substituted for the formal education requirement

Windhaven Insurance is an Equal Opportunity Employer. We do not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, sexual orientation, national origin, age, genetic information, disability or any other characteristic.

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