- Meticulously investigates (both field and desktop) all assigned referral cases in efforts to resolve identified indicators of questionable claims or of suspected fraud.
- Gathers information via on-site inspections, recorded statements, interviews, canvasses, and other field investigation activity as needed.
- Travel for investigative fieldwork both within the investigator's area /state and out of state is required.
- Ethically completes case assignments timely and accurately within the company's best practices and quality expectations.
- Provides complete, detailed investigative claim notes, reports, and memorandums.
- Completes open-source intelligence investigations, background investigations, ands social media reviews using approved databases and other company software and online resources.
- Identifies complex issues and seeks assistance as needed from management and other appropriate resources.
- Masters and complies with Stillwater company claim handling and SIU protocols /guidelines.
- Completes necessary referrals to proper authorities including NICB, state insurance departments, and other law enforcement agencies.
- Attends and oversees examination under oath proceedings as needed.
- Utilize in-person and initiative-taking communication methods including Teams video conferencing, telephone, email, text, and other methods.
- Utilize and manage, when appropriate, litigation resources to resolve claims.
- Recognize, control, and resolve disputes professionally.
- Candidate must have 3 to 5 years of SIU field investigation experience with an insurance carrier.
- Candidate must have a fundamental understanding of Auto, Homeowner, and Business Owners insurance policies and endorsements.
- Candidate must possess a valid driver's license with an acceptable driving record, plus defined automobile insurance liability coverage.
- Candidates must have their own vehicle for work use, standard per mileage compensation will be provided.
- Candidate must have the ability to travel for field investigative work within the state of CA, and out of state most commonly to the states of OR, WA, AZ, NJ, NY, MN, NV, UT, CT, and TX.
- Candidate must possess sound business judgment, effective interpersonal and communication skills, and exceptional analytical and critical thinking skills.
- Four-year college degree in criminal justice, law, science, or a related field preferred; or equivalent law enforcement, military, or advanced work experience.
- Mastery of Microsoft Office suite of products including Excel.
- Mastery of industry programs such as TLO, Accurint, Westlaw, ISO Claim Search, PACER, etc.
- Social media investigation, data analytics, and/or trend analysis experience.
- Mastery of oral and written communication skills associated with recorded statements and report writing.
- Professional designations such as CIFI, FCLS, CFE, CPCU, etc.
- A FL or other state all lines adjuster's license
- Law Enforcement, Fire investigation, or Law background.
- Experience with outsource investigation provider management.
- Casualty/automobile investigation experience, including body shop, medical provider, and towing involvement.
- Problem Solving: Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
- People Skills: Focuses on solving conflict; Maintains confidentiality; Active listening skills used to secure meaningful and in-depth recorded interviews.
- Customer Service: Manages difficult or emotional customer situations; Responds promptly to customer needs; Meets commitments.
- Teamwork: Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
- Adaptability: Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Ethics: Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
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SIU Field Investigator - Santa Barbara, United States - Stillwater Insurance Services, Inc.
Description
Job Description
Job DescriptionSIU FIELD INVESTIGATOR
Greater Los Angeles CA area or The Greater Sacramento, San Francisco or San Jose CA areas
Join our hardworking, collaborative team where your contributions will be celebrated and valued.
Why Stillwater? We're a national insurance provider that offers a full suite of insurance products and services. We strive to be the most respected insurance provider in the United States and that respect starts with our employees.
JOB SUMMARY:
Investigates all aspects of referred questionable claims to the Special Investigation Unit including in-person recorded statements /interviews /EUO with policyholders and their representatives as needed, coordination of outsource service providers, field canvasses, scene investigations and other field investigative activities, investigative report writing, and questionable claim reporting.
DUTIES AND RESPONSIBILITIES:
The following reflects management's definition of essential functions for this position but does not restrict other tasks that may be assigned. Management may assign or reassign duties and responsibilities to this position at any time due to reasonable accommodation or other reasons.
Duties for this position include:
BASIC QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
COMPETENCIES:
Apply today to start your journey of being celebrated and valued with Stillwater Insurance Group.
Offer for employment is contingent upon the favorable responses from both a background investigation and a pre-employment drug screen.
Stillwater Insurance Group is a drug-free workplace and an equal opportunity employer.
