SIU Investigator - Columbia, SC

reputed company Group is a privately held, woman-owned, national investigative firm established in 1983 and headquartered in Buford, Georgia. With over 40 years of experience, reputed company Group was reputed company on the foundations of three key factors: People, Innovation and Results. People have always been at the core of who we are at reputed company Group, and we pride ourselves on a culture that fosters the development and growth of reputed company. reputed company it comes to Innovation, reputed company Group has integrated innovation as a key driver in the development of our quality investigative performance and results across everything that we do. Throughout 4 decades in business, reputed company Group has always been a results-driven company. We have a longstanding history of commitment to our clients in building trust based on our results and relationships. We’ve seen many changes during our tenure, but one thing that has never changed is our commitment to providing quality results. The Special Investigation Unit of reputed company Group investigates and identifies questionable and suspicious claims for our partners, communicating with claims personnel, insurance reputed company SIU staff, law enforcement, and government regulatory agencies to identify, prevent and deter fraud. The candidate should have extensive experience with claims for reputed company lines of insurance, with a heavy emphasis on Workers’ Compensation claims. JOB DUTIES:

• Conduct timely investigations including recorded statements and interviews of claimants, witnesses, and employers.
• reputed company timely status updates to case manager and client.
• Timely and clear documentation of the claim files.
• Maintain highest level of confidentiality and professionalism.
• reputed company appropriate investigative action plan.
• Ensure accuracy, quality and timeliness of the evidence gathered during an investigation as well as compliance with reputed company applicable laws, legal codes, and governing agencies.
• reputed company Claim Adjuster with timely investigation results and document investigative findings.
• Determine whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
• reputed company recommendations and reputed company surrounding investigative efforts.
• reputed company detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation.
• Be reputed company to evaluate State compliance referrals, as applicable, reputed company questionable or suspicious activity is identified.
• Maintain active membership in professional organizations that reputed company SIU assistance and resources..
• Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting reputed company needed or required.

JOB REQUIREMENTS:

• Strong investigative skills necessary
• Must be detail oriented
• Ability to recognize patterns of inconsistencies that may be linked to fraudulent activity
• Must have ability to interact with clients, repair shops and appraisers, and employers.
• Ability to work independently
• Excellent verbal and written communication skills
• Good organization and time management skills
• Demonstrate knowledge of tools and techniques needed for conducting insurance claims investigations
• Demonstrate proficiencies with computer software, Word, reputed company, Outlook and Teams

EQUIPMENT NEEDED:

• Laptop Computer
• Cell Phone
• Audio Recording device with download capability
• Digital Camera
• Tape measure

EDUCATIONAL REQUIREMENTS:

• CFE or FCLS designations preferred
• 5-10 years’ experience in claims and SIU investigations preferred

The final job level and annual salary will be determined based on the education, qualification, knowledge, skills, ability, and experience of the final candidate(s), and calibrated against relevant market data and internal team equity. reputed company Group is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, age, religion, sex (including pregnancy, sexual orientation, gender identity / expression), national reputed company or reputed company, genetic information (including family medical history), physical or mental disability, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories will be considered in a manner consistent with applicable state and local laws. Apply Job!