Location: New York,NY, USA
SIU Investigator
The SIU Investigator is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims and auto property matters to simpler application fraud issues. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work and coordinates efforts with industry fraud units, claim personal, counsel, law enforcement and agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. May conduct fraud awareness training and/or investigate research. The individual will work in the field and be provided a company issued computer, phone and vehicle.
Essential Functions and Responsibilities
* Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.
* Good File analyses/decision making when reviewing file documentation.
* Maintain diary to meet requirements for status reports on all investigations.
* Successfully completes investigation addressing all referral issues.
* Will attend a minimum of three days of formal training a year.
* Will participate in conducting fraud awareness training to company associates.
* Network with law enforcement and other investigators within the SIU Industry.
* Adhere to privacy guidelines.
* Cover large geographic areas.
* Complete accurate monthly reports and submit to supervisor timely
Qualifications and Education
* Prior P&C SIU experience preferred
* Individual must have one of the following:
* Bachelor's Degree in Criminal Justice or
* An Associate's Degree plus a minimum of two years experience with insurance related employment.
* A minimum of five years of experience within the insurance industry.
* A minimum of five years of law enforcement experience.
* Valid New York Drivers License
* Strong Computer Skills (Microsoft Excel, Word, Access and Outlook)
* Strong verbal and writing skills
* Working knowledge of Home and Auto Policies
* Bi-lingual in Spanish would be preferred
* Knowledge of big data (link analysis, predictive modeling tools etc... not mandatory but preferred).
* Knowledge of medical terminology and treatment plans
Salary Range: $62,000 - $90,000
About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,800 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of A-/Excellent .
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