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3 дня назад

SIU Investigator - Hybrid (Insurance Fraud)

72 200 - 119 000$
Формат работы
hybrid
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
SIU Investigator - Hybrid (Insurance Fraud): Investigating suspicious insurance claims across all lines of business with an accent on fraud detection, evidence analysis, statutory compliance, and collaboration with claims, legal, underwriting, and law-enforcement partners. Focus on analyzing complex information, developing investigative strategies, identifying cases for prosecution, and adapting investigations to AI-enabled tools.

Location: Hybrid; CA - Rancho Cordova. Must reside in or near Sacramento.

Salary: $72,200–$119,000 annual base salary.

Company

hirify.global is a property and casualty insurer providing investigative services to detect and deter fraudulent claims.

What you will do

  • Conduct insurance investigations and database searches to uncover potentially fraudulent aspects of claims across all lines of business.
  • Analyze, monitor, and summarize technical information into actionable investigative strategies, applying critical thinking to complex problems.
  • Maintain contact with claims, legal, underwriting, customers, public officials, law enforcement officers, and other external resources throughout investigations.
  • Act as a fraud subject matter expert and liaison for business and industry partners.
  • Apply rules of evidence and local, state, and federal statutes; collect and interpret evidence in accordance with applicable requirements.
  • Identify cases for potential insurance fraud prosecution and submit questionable claims to the National Insurance Crime Bureau; adapt to technology, system upgrades, digital tools, and AI implementations.

Requirements

  • Bachelor's degree.
  • Analytical and problem-solving skills for interpreting information and facts and applying investigative techniques.
  • Strong case management skills and the ability to manage work independently.
  • Ability to work in a high-volume, fast-paced environment while managing multiple shifting priorities.
  • Influence and conflict management skills.
  • Working-level knowledge of insurance and claim operations, including Commercial Lines, Personal Lines, and Workers Compensation products.
  • At least two years of investigative experience, or at least three years of insurance claim, underwriting, or legal-related experience.

Culture & Benefits

  • Health insurance for employees and eligible family members from the first day of employment.
  • Dollar-for-dollar matching of 401(k) contributions up to the first 5% of eligible pay, subject to an annual maximum; pension plan funded by hirify.global.
  • Minimum of 20 paid time-off days annually plus nine paid company holidays.
  • Wellness resources, discounts, caregiving support, and free professional counseling, health coaching, and mental health services.
  • Volunteer and charitable giving programs, including matching gifts and volunteer rewards.

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