SIU Investigator - Miami, FL
Univista Insurance is looking for a SIU Investigator to identify and investigate potential fraudulent claims. The role involves conducting thorough investigations, gathering evidence, and collaborating with internal teams to prevent and detect fraud.
Responsibilities
- Investigate suspicious claims for potential fraud, including interviews, surveillance, and evidence collection
- Analyze claims data to identify patterns and red flags that may indicate fraudulent activity
- Prepare detailed investigation reports, documenting findings and supporting evidence
- Present investigative findings to management and regulatory bodies as needed
- Work closely with claims adjusters, legal teams, and law enforcement to support fraud investigations
- Assist in developing strategies to prevent fraud and improve claims processes
- Ensure investigations comply with company policies, industry regulations, and legal requirements
- Maintain confidentiality of sensitive information related to investigations
Skills
- High School Diploma or G.E.D
- 6 months of claims handling or investigative experience in any field
- Bilingual in English and Spanish is required
- Strong customer service and communication skills
- Basic proficiency in Microsoft Office
- Experience in Loss Prevention and Surveillance preferred
- Active insurance adjuster's license preferred; must obtain and maintain as needed
- High school diploma or equivalent; bachelor's degree in business, or related field preferred
Company Overview