SIU Investigator

Investigate suspicious information submitted to Company in conjunction with reported claims or policies using electronic databases and other resources to discover material undisclosed information or validate disclosed information in the evaluation and investigation of claims and policies. Prepares reports of investigation and proceeds within authority to initiate action. Support and assist others in fulfilling Company’s obligations to report false or fraudulent information to insurance regulatory and law enforcement authorities. Assist various law enforcement agencies and Department of Insurance in criminal insurance fraud matters.

Job Responsibilities

Duties are listed in order of greatest importance. Other responsibilities may be assigned.

SIU ANALYSIS: Investigate information received by various departments and employees within the Company pertaining to all lines of business including Commercial Auto, Workers’ Compensation, Businessowners, Professional Liability, and General Liability. Utilize data available through various public and subscription data sources to verify claims history, background information, and other items.

SIU INVESTIGATION: Investigate suspicious information provided to Company in conjunction with reported loss or policy application. The process includes interviewing insureds, claimants, witnesses, providers, and others as applicable. The Investigator will prepare fully documented reports of investigation, recommend appropriate Company action, and update files as needed. Within authority, the Investigator will initiate appropriate Company action including assigning vendors, coordinating experts, and working in conjunction with adjusters and underwriters to mitigate suspected fraud. Submit approved reports to state insurance regulatory authorities, state, and federal motor vehicle regulatory authorities, NICB and others documenting Company investigation and action regarding suspected insurance fraud.

OTHER FRAUD INVESTIGATION: May investigate fraudulent Policy or proof of insurance documents, forged, or altered Company payment instruments, or internal fraud. May assist law enforcement authorities in investigating and prosecuting false or misleading information provided to Company, forgery or alteration of Company policies or payment instruments and other crimes involving Company.

TRAVEL: May travel to represent Company for investigations, conferences with law enforcement, industry conferences or other Company business.

LICENSING: Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and conferences.

OTHER: Performs related duties as situation dictates such as participating in special projects, etc.

Qualifications

FUNDAMENTAL JOB REQUIREMENTS: Works under occasional supervision, referring only unusual cases to others. Uses judgment to handle basic issues and problems. Possesses beginning to working knowledge of subject matter. Opportunity for errors may be serious and may involve loss of productivity. Routine communication requires tact with both inside and outside contacts to obtain information, cooperation, and resolve basic issues. Regularly works with confidential data. One or more years work experience.

Required Education:

Bachelor's degree in related field or equivalent work experience.

Required Knowledge:
Bachelor's degree in business or related field or equivalent work experience.

Preferred Knowledge:

SCLA, CFE, or CIFI designations
Interpretation and application of insurance contracts
Insurance claim procedures, loss evaluation methods and claim resolution alternatives
Insurance related courses such as AIC, CPCU

Skills:
Investigation
Evaluation and analysis
Negotiation
Case management
Time management and prioritization
Excellent oral and written communication, especially with individuals outside the Company

Abilities:
Organize time and resources and handle multiple high priorities
Research and evaluate alternatives, reach decisions, and make recommendations
Maintain strict confidentiality
Meet deadlines
Work with detail with accuracy
Work well with others

About Us

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

Some highlights of our benefits are:

• Great work environment with growth opportunity
• Subsidized downtown parking (for in-office positions)
• Competitive compensation
• Generous amounts of vacation and sick time
• Closed on major holidays
• 401(k) with company match
• A fantastic healthcare package
• Tuition reimbursement after 6 months of employment
• Service recognition after 5 years of employment

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided.  The starting salary range for this position is $75,000 to $85,000 per year.  Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.