SIU Investigator

Posted 14 Hours Ago
Be an Early Applicant
Phoenix, AZ, USA
In-Office
70K-117K Annually
Senior level
Insurance
The Role
Investigates suspicious insurance claims, identifies potential fraud, conducts interviews and document and medical record reviews, and develops cases supporting claim outcomes or prosecution. Provides claims staff training on fraud indicators, statement-taking, investigation strategies, and compliance. Collaborates with the SIU Manager on training, onboarding, and related activities.
Summary Generated by Built In

Why CIG?

At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career!

CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees.

Why choose CIG’s Claim’s Team?

CIG claims department is here to support our insureds throughout their claims process. We work directly with our agency partners and policyholders to accomplish successful claim resolutions. Join the claims operation and you can be part of a team who provides excellent service, build relationships, and achieves successful outcomes for our clients.

Benefits

  • Accrue twenty-one days of Paid Time Off during your first year
  • Up to eighty-seven percent of benefits covered by CIG for you and your family members
    • Medical, dental, vision plans
  • One hundred percent covered plans
    • Basic Life & AD&D
    • Employee Assistance
    • Leave Management
    • Long Term Disability
    • Short Term Disability (Outside of CA)
  • Family Caregiver Support (Homethrive)
  • Child Care Resources (Tootris)
  • Business Travel Accident Protection
  • Voluntary benefit offerings
    • Short-term (CA only)
    • Voluntary Life AD&D self, spouse and child plans
    • Flexible Spending
    • Health Savings (HSA)
    • Hospital Indemnity
    • Accidental Injury
  • Critical Illness
  • ARAG Legal Services
  • Norton LifeLock
  • Nine paid holidays, plus two floating holidays
  • Above and Beyond Reward Recognition Program
    • Kudos & Shout Out Points Program
    • Quarterly Above and Beyond Bonus Program
    • Annual Above and Beyond Bonus Program
  • Competitive compensation
    • Base compensation
    • Salary Management Spot Bonuses
    • Annual Incentive/Profit sharing program, potential payout annually based on company results.
  • Discount partnerships
    • Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more
  • Insurance Educational reimbursement and bonus programs
  • Employee Referral Bonus Program
  • Home and Auto Insurance Discount Program.
  • Paid Volunteer Time – Through company planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you!
  • Retirement savings benefit (401k and Roth + match)
  • Health & Financial Wellness
    • Wellness platform, tools and events
    • Health Savings Account – match
    • Financial Wellness Resources

Work Environment & Format:

This is a hybrid-eligible position, where Monday through Wednesday would be working in one of our offices, with Thursday and Friday eligible for work-from-home days. Office locations include: Monterey (CA), Roseville (CA), Bakersfield (CA), Phoenix (AZ), and Spokane (WA).

Job Overview:

The SIU Investigator is responsible for investigating suspicious claims, identifying potential fraud, and developing well-documented cases to support claim outcomes and potential prosecution.

Provides training and support to claims staff in support of strengthening identification of potential red flags and investigation strategies across the claims organization, to include statement taking, document analysis, and medical record review.

Directly involved in statement taking and other investigative activities as warranted. Works with the SIU Manager on annual training, onboarding, and compliance related activities, as needed.

Minimum Requirements:

  • Knowledge of property-casualty coverages, DOI regulations, legal concepts, and comprehension of contracts, case law, medical treatment and medical terminology.
  • Must be results oriented and capable of conducting various investigations independently.
  • Must have excellent communications skills to express ideas, interview parties, and be able to work collaboratively with and educate claims staff on investigation strategies.
  • 5-7 years of insurance or investigative experience.
  • Experience in handling of litigated claim files as well as mediation/arbitration/trial participation is preferred.
  • Previous experience in law enforcement or fraud investigation is highly desirable.
  • Professional designation and certifications (AIC, CPCU, NCFIA, SCFIA, IASIU, etc.) recommended.
  • Must maintain a valid Driver License and ability to safely operate a vehicle.
  • Candidates must be authorized to work in the United States without the need for current or future visa sponsorship.

Salary Range: $70,293.00 - $117,155.97

The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.

Skills Required

  • Knowledge of property-casualty coverages, Department of Insurance regulations, legal concepts, contracts, case law, medical treatment, and medical terminology
  • Ability to independently conduct various investigations and achieve results
  • Excellent communication skills for expressing ideas, interviewing parties, collaborating with claims staff, and educating staff on investigation strategies
  • Five to seven years of insurance or investigative experience
  • Experience handling litigated claim files and participating in mediation, arbitration, or trials
  • Previous law enforcement or fraud investigation experience
  • Professional designation or certification such as AIC, CPCU, NCFIA, SCFIA, or IASIU
  • Valid driver's license and ability to safely operate a vehicle
  • Authorization to work in the United States without current or future visa sponsorship
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The Company
HQ: Monterey, California
524 Employees
Year Founded: 1898

What We Do

Established in 1898, Capital Insurance Group® (CIG) is a leading regional property and casualty insurer in the Western U.S. Headquartered in Monterey, California, CIG offers trusted Agriculture, Commercial, and Personal coverage across Arizona, California, Nevada, Oregon, and Washington. CIG delivers insurance solutions tailored to meet the needs of policyholders, sold exclusively through independent agents. Throughout its footprint, CIG partners with regional and local charitable organizations and events to give back to communities in ways that promote preparedness, enhance resilience, and bring relief to communities in crisis. CIG is underwritten by its affiliate companies: California Capital Insurance Company, Eagle West Insurance Company, Nevada Capital Insurance Company, and Monterey Insurance Company. CIG is rated “A“(Excellent) by AM Best, the independent financial monitor of the insurance industry and is proud to be part of the Auto-Owners Insurance group of companies, one of the nation’s largest, most-trusted insurers. For more information please visit CIGInsurance.com.

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