Associate's or Bachelor's degree in Criminal Justice, Legal Studies, or related field preferred., 2+ years of experience managing claims investigations in personal lines., Adjuster's license or Private Investigator's license preferred., Strong understanding of SIU protocols and fraud detection..
Key responsabilities:
Conduct and manage SIU investigations for various claims.
Analyze and evaluate investigative findings to identify potential fraud indicators.
Maintain detailed documentation and reports for investigative activities.
Collaborate with claims adjusters, legal teams, and law enforcement as needed.
Report This Job
Help us maintain the quality of our job listings. If you find any issues with this job post, please let us know.
Select the reason you're reporting this job:
Ethos Risk Services is a technology-backed, full-service claims management company. We bring clarity to a world of uncertainty through investigation and verification resources aimed at delivering optimal solutions to our clients. Services include surveillance, OSINT/digital investigations, SIU, and claims investigations. We also provide a full suite of medical management solutions that includes utilization management, field case management, IME, bill review, and Medicare services (MSP).
Our coverage includes all 50 states and over 80 countries. We are SOC 2 Type 2 and HIPAA compliant.
Our vision is to be the most tech-enabled, customer-centric claim management company that makes verification a matter of certainty.
You want to be sure your claims are verified with all the facts. To do that you need all the facts, and delays increase costs. That’s why we’ve developed the technology and training to keep your claims on track for optimal outcomes. With our solutions you’ll save time and money with the peace of mind of having 100% surety.
More Coverage. More Accountability. More Consistency.
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
Job Summary
Our dynamic Ethos team is seeking a full-time/remoteSpecial Investigations Unit (SIU) Specialist to manage claim investigations in the personal lines areas: property and casualty insurance claims. This role requires a strong understanding of SIU protocols and fraud detection to complete SIU tasks as directed by clients and management. The ideal candidate will have a proven track record in claims investigations (personal lines auto, and property), excellent communication skills, and the ability to collaborate with a high-performing team.
Responsibilities
Conduct and manage SIU investigations for various claims, ensuring accuracy and compliance with regulations.
Cross-sell services when opportunities arise to support business growth.
Perform key SIU-related tasks as assigned by clients and management.
Analyze and evaluate investigative findings to identify potential fraud indicators.
Maintain detailed documentation and reports for investigative activities.
Collaborate with claims adjusters, legal teams, and law enforcement as needed.
Qualifications
Education: Associate's or Bachelor's degree in Criminal Justice, Legal Studies or related field (preferred)
Experience
Required: 2+ years of experience managing claims investigations, including auto-liability, property casualty, liability, disability, and worker's compensation files.
Preferred: 2+ years of experience within an insurance carrier or third-party administrator's SIU department.
Licenses/Certifications
Adjuster's license or Private Investigator's license (preferred).
FCLA, FCLS or equivalent designations (preferred).
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
Salary: $50000 - $60000 per year
Job Posted by ApplicantPro
Required profile
Experience
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.