SIU Senior Investigator

ABOUT US: Frasco Investigative Services, a division of Frasco, Inc., provides unparalleled quality investigations throughout the entire United States. Frasco is a full-service investigation corporation serving the insurance, legal, employment, and entertainment communities. Our client base includes many of the nation's largest insurance carriers in the workers' compensation, liability, and disability arenas; corporate and independent counsel; risk management for entertainers and public figures; and many municipalities and public agencies. Services we provide include surveillance, statement & interviews, activities checks, background checks, and other investigative endeavors. Through our Frasco Profiles division we provide national and international pre-employment screening.

We are looking for an experienced SIU Investigator to join our team!

The SIU Senior Investigator is a fully remote position ideally located in the Eastern or Central time zones. This position is responsible for conducting complex thorough and timely investigations involving potential insurance fraud where questionable or suspicious activity has been identified. This role involves the ability to effectively protect, prevent, and detect fraud by actively being involved in anti-fraud efforts.

Essential job functions include, but are not limited to:

• Identify, analyze and conduct thorough investigations of suspicious claims in a timely manner
• Ensure accurate, detailed, and timely interviews are completed on applicable parties
• Evaluate, analyze, verify and obtain material evidence relevant to the investigation
• Locate, extract, and review data from multiple sources and systems to assist in the course of the investigation to ensure accuracy in findings
• Evaluate and coordinate vendor involvement when deemed necessary by establishing a cost-effective budget when utilizing SIU vendors and experts
• Ensure all investigative findings are properly and thoroughly documented in a timely manner
• Evaluate, determine and complete referrals to State Insurance Departments, Fraud Bureaus, and NICB when suspicious and fraudulent activity has been identified
• Facilitate and coordinate investigations with external SIU contacts, NICB, Department of Insurance Fraud, and various law enforcement agencies
• Facilitate and maintain effective professional communication by providing best in class service to both internal and external customers · Develop and present anti-fraud training to claims personnel
• Participate in decision making discussions with Company personnel on cases worked and resolution on investigative results ·
• Provides effective technical advice on SIU related investigative issues in addition to communication of industry data, trends, government and legal updates
• Produce investigative reports to SIU leadership through data mining, pattern analysis and claim trends

Essential qualifications and equipment include, but are not limited to:

• Bachelor's Degree preferred
• Completion of one or more of the following designations: CIFI, FCLS, FCLA, and/or CFE
• Must have 5 or more years of prior SIU experience handling multi line claims with focus on commercial lines
• Exhibit knowledge of basic insurance principals pertaining to claims processes and procedures
• Knowledge of good faith claims practices
• Demonstrate knowledge of investigative methods in regards to laws, rules and regulations involving insurance fraud
• Knowledge of privacy regulations and compliance requirements
• Proficiency with MS Office products
• Easily adapts to new or changing situations and priorities
• Ability to be flexible and multi-task
• Dedicated to meeting the expectations of internal and external customers
• Strong organizational and prioritization skills
• Ability to properly handle sensitive and confidential information
• Ability to work both independently and in a team environment
• Demonstrate a strong work ethic with a positive attitude
• Excellent verbal and written communication skills

Working Conditions and Physical Requirements:

• Ability to sit at a desk and work on a computer for extended periods of time.
• May occasionally lift and/or move up to 10 pounds.
• Vision abilities required by this job include close vision and ability to adjust focus.

SIU Investigator compensation is competitive and commensurate with experience.

This is an Hourly / Full -Time Non-Exempt Position.

Frasco offers an excellent benefits package for Full-Time employees, including, Health, dental, vision, and life insurance; Paid Time Off, Paid holidays and 401(k) Plan with company match; as well as Ancillary Benefit and Employee Discount Programs.

Join a leader in the investigations industry that is financially stable, is experiencing growth, and whose history spans over 60 years! All replies will remain confidential. EOE