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SIU Desk Investigator - Atlanta

AssuranceAmerica, Atlanta, Georgia, United States, 30383

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Overview Our Company At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do.

This is an opportunity to join a dynamic team in a company that is a leader in the non-standard auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen.

Job Description A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims. The Desk Investigator conducts low to moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and injury claims. The Desk Investigator plans, prioritizes, and executes investigative assignments, including backgrounds, interviews, and Examinations Under Oath. The Investigator is responsible for analytical review of suspicious claims utilizing various investigative methods and techniques. The investigator must evaluate relevant information essential in resolving suspicious and complex investigations. This position requires demonstrated effectiveness in the understanding and application of legal and claim principles. The Investigator should have a working understanding of coverage and or personal injury protection coverage.

Responsibilities

The primary role of the desk investigator will be to conduct Examinations Under Oath, and report the findings of same.

Claims Investigations to include but not limited to: statements, document analysis/verification, damage analysis

Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch

Must ensure compliance with industry and company policies

Must understand regulatory / statutory requirements; develops and maintains knowledge of changes in law both at state and national levels

Properly utilizes our claims and other various systems

Attends industry meetings to identify industry trends

Completes individual weekly Investigator report to manager

Attends and participates in team meetings, roundtables

Actively affiliates and maintains network of SIU, claims, law enforcement, attorney, and related contacts to ensure investigation methods are current and proper operating procedures are utilized

Responsible for meeting individual goals and objectives

Maintains consistent, fair, and diplomatic interactions with co-workers

Performs other duties as assigned by SIU Manager

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