SIU Investigator II

EMC Insurance Companies

. Investigate and evaluate moderately complex Special Investigation Unit referrals, including suspected organized fraud activity .

Posted 11/4/2026full-timeRemote • United StatesMid-LevelSenior💰 $59,463 - $100,731 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in investigating and evaluating fraud claims, with strong knowledge of civil and criminal investigative procedures, evidence analysis, and report writing. Proficient in collaborating with various stakeholders and promoting anti-fraud awareness within the insurance industry.

Highest-signal resume keywords

Fraud Claim Law Specialist DesignationClaims Adjusting ExperienceInvestigative SkillsKnowledge of Property and Casualty InsuranceStrong Verbal and Written Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Investigative Process KnowledgeEvidence AnalysisStatement-Taking TechniquesPublic and Private Records AnalysisReport WritingDecision-Making AbilityConflict ResolutionNegotiation SkillsFacilitation AbilitiesMicrosoft Office Suite

Soft Skills

Team CollaborationIndependent Work Ability

Certifications & Qualifications

Fraud Claim Law Specialist DesignationInsurance Designations (INS, AIC, FCLS)

Industry Keywords

Special Investigation UnitFraud AwarenessCivil LitigationCriminal ProsecutionNational Insurance Crime Bureau SIU AcademyProperty and Casualty Insurance

About the role

Key responsibilities & impact

Investigate and evaluate moderately complex Special Investigation Unit referrals, including suspected organized fraud activity
Review claim, underwriting, premium audit, public record, claims history, and social media information
Conduct interviews, obtain statements, complete field investigations, and review supporting documentation
Attend examinations under oath and depositions
Collaborate with internal teams, attorneys, law enforcement, and other relevant parties
Analyze evidence to support or rule out suspected fraud
Recommend appropriate claim or policy handling
Pursue recovery or restitution opportunities
Prepare investigative reports, required state anti-fraud documentation, and evidence packages for civil litigation or criminal prosecution
Communicate investigation status, findings, and recommendations to stakeholders
Help develop and deliver internal anti-fraud training
Promote awareness of SIU services
Contribute to investigative policies, practices, and procedures
Maintain involvement in relevant professional associations

Requirements

What you’ll need

Bachelor’s degree in business, insurance, criminal justice or related field or equivalent relevant experience
Three years of claims adjusting, investigation or insurance-related experience or related experience
Prior property and casualty experience preferred
Fraud Claim Law Specialist designation within the first year of hire
Insurance designations, such as INS, AIC, and FCLS preferred
Good knowledge of the investigative process, including proper identification and collection of physical evidence
Good knowledge of civil and criminal investigative procedures and the legal system
Good knowledge of statement-taking techniques and collection and analysis of public and private records
Knowledge of the property and casualty insurance industry and fraud awareness preferred
Good investigative skills and sound decision-making ability
Conflict resolution, negotiation, and facilitation abilities
Ability to work independently and as part of a team
Strong verbal and written communication skills, including file documentation and report writing
Good knowledge of computers and Microsoft Office Suite
Attendance of the National Insurance Crime Bureau SIU Academy within the first two years of hire
Occasional travel
Valid driver’s license with an acceptable motor vehicle report per company standards required if driving

Benefits

Comp & perks

Comprehensive rewards package; benefits details provided at www.emcins.com/careers
Work from home
Tobacco-free workplaces and company vehicles