What are the responsibilities and job description for the Special Investigations Unit (SIU) Specialist position at Ethos Risk Services?
ABOUT US:
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
JOB SUMMARY:
Our dynamic Ethos team is seeking a full-time/remote Special Investigations Unit (SIU) Specialist to manage claim investigations in the personal lines areas: property and casualty insurance claims. This role requires a strong understanding of SIU protocols and fraud detection to complete SIU tasks as directed by clients and management. The ideal candidate will have a proven track record in claims investigations (personal lines auto, and property), excellent communication skills, and the ability to collaborate with a high-performing team.
RESPONSIBILITIES:
- Conduct and manage SIU investigations for various claims, ensuring accuracy and compliance with regulations.
- Cross-sell services when opportunities arise to support business growth.
- Perform key SIU-related tasks as assigned by clients and management.
- Analyze and evaluate investigative findings to identify potential fraud indicators.
- Maintain detailed documentation and reports for investigative activities.
- Collaborate with claims adjusters, legal teams, and law enforcement as needed.
QUALIFICATIONS:
Education: Associate's or Bachelor's degree in Criminal Justice, Legal Studies or related field (preferred)
Experience:
- Required: 2 years of experience managing claims investigations, including auto-liability, property casualty, liability, disability, and worker's compensation files.
- Preferred: 2 years of experience within an insurance carrier or third-party administrator's SIU department.
Licenses/Certifications:
- Adjuster's license or Private Investigator's license (preferred). FCLA, FCLS or equivalent designations (preferred).
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
