Builders Mutual

Consultant

• Serve as the single point of accountability for fraud identification and handling strategy across Workers’ Compensation, General Liability, Commercial Auto, Builders Risk, Inland Marine, and Property lines
• Set SIU program direction and priorities with Claims leadership
• Communicate program performance, trends, and recommendations to senior leadership
• Identify cross-line fraud trends, referral patterns, and emerging investigative needs
• Own and manage SIU vendor relationships, including referral quality review, invoice and cost auditing, service-level performance tracking, and periodic vendor evaluation
• Design and maintain a quality assurance framework for SIU referrals and investigative outcomes
• Establish and maintain referral outcome and savings-tracking methodology for quarterly and annual ROI reporting
• Build recurring reports on referral volume, cost per referral, outcome type, line-of-business distribution, and other metrics
• Consult with Underwriting on front-end, premium, and new-market fraud indicators
• Develop and deliver fraud-recognition training for claims adjusters and underwriting staff
• Create and maintain adjuster-facing referral guidance, job aids, and procedures
• Ensure state-specific SIU and antifraud-plan reporting obligations and mandatory referral procedures are met
• Maintain knowledge of SIU/antifraud requirements and support a compliance matrix for the company’s multi-state footprint
• Report to the Vice President of Claims

Claims SIU Consultant