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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating complex claims and identifying potential fraud through analytical thinking and investigative interviewing. Proficient in managing vendor relationships and conducting thorough background searches and site inspections.
Highest-signal resume keywords
Investigative ExperienceSIU ExperienceFraud InvestigationsAnalytical ThinkingDecision Making
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Background SearchesScene InvestigationsClinic InspectionsRecorded StatementsWitness InterviewsMedical Notes ReviewProperty Damage AnalysisECL Claims InvestigationMulti-Discipline Coverage AnalysisFraud Outcome Validation
Soft Skills
Critical ThinkingTime ManagementConflict ResolutionCustomer Communication
Tools & Technologies
Analytic ToolsClaim System
Certifications & Qualifications
Active Insurance License
Industry Keywords
FraudSpecial InvestigationsSurveillanceClaims ManagementVendor Performance
About the role
Key responsibilities & impact- Investigate and analyze highly complex, multi-discipline coverage and claims referred to the SIU for potential fraud
- Support the Arkansas state territory across Auto, Homeowners, and Specialty Lines
- Conduct background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches
- Review and analyze medical notes, bills, property damage, and other claim documentation
- Determine whether fraud can be substantiated and support lawsuits
- Make claim decisions regarding highly complex investigations and pursue restitution
- Manage vendor relationships and oversee vendor performance
- Conduct online data application searches, research, and evaluation
- Review fraud-outcome investigations and validate whether denial is appropriate
- Conduct site inspections at body shops, medical clinics, loss locations, and similar sites
- Resolve complex customer communications, concerns, conflicts, and issues
- Use analytic tools and SIU field intelligence to identify claims for investigation and support evidence of fraud and damages
- Summarize documents and enter claim-system notes documenting evaluations and decision-making
- No supervisory duties
Requirements
What you’ll need- Prior investigative experience required
- Strong preference for SIU experience
- Demonstrated experience identifying, investigating, and resolving suspicious claims
- Experience conducting background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches
- Ability to review and analyze medical notes, bills, and property damage
- Ability to investigate complex, multi-discipline coverage and claims, ECL claims, and significant losses
- Analytical thinking, critical thinking, decision making, fraud investigations, investigative interviewing, law enforcement, special investigations, surveillance, and time management skills
- Must be authorized to work in the United States
- Active insurance license holders must terminate existing appointments before onboarding and cannot hold outside appointments during employment
- Applicants with a resident producer license seeking an adjuster role must surrender that license when instructed
- Dedicated, private home workspace free from distractions
- Reliable internet with minimum speeds of 50 MB download and 5 MB upload
Benefits
Comp & perks- Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse
- Monthly connectivity reimbursement for employees eligible to work from home
- Remote work arrangement
- Equal employment opportunity and protected-category consideration
- Work visa sponsorship is not provided
