SIU Support Specialist
W. R. Berkley Corporation, Urbandale, IA, United States
Responsibilities
The SIU Support Specialist will be responsible for conducting background investigations through research, analysis, and interpretation of public record databases, online data sources, and social media to support SIU and Claim departments. The specialist serves as the central triage point for incoming SIU referrals, reviewing each referral for completeness, assessing initial fraud indicators, assigning priority based on established criteria, and routing matters appropriately to investigative staff. The role also encompasses proactive fraud detection through monitoring of internal claim activity, system alerts, data anomalies, and emerging patterns that may indicate fraud risk.
Conduct comprehensive background investigations using public‑record databases, online resources, and social media.
Validate the accuracy and relevance of data gathered from multiple sources.
Prepare detailed, timely, and accurate reports documenting investigative findings.
Capture all investigative requests and triage actions within the SIU tracking system.
Ensure adherence to all privacy, confidentiality, and compliance requirements.
Support investigators by gathering and analyzing claim, provider, and claimant information.
Monitor internal and external data sources to proactively identify potential fraud and emerging patterns.
Escalate suspicious activity to SIU leadership for review and follow‑up.
Coordinate with SIU and Claims staff to support effective and efficient case resolution.
Manage sensitive and confidential information with discretion and sound judgment.
Balance independent analytical work with active participation in collaborative investigative efforts.
Qualifications
Associates Degree / Bachelor’s degree preferred.
Minimum of one to three years of insurance experience.
Knowledge of insurance claims handling processes.
Prior experience conducting investigative work preferred but not required.
Advanced problem‑solving and research skills.
Ability to extract data and cross‑reference resources.
Strong knowledge of third‑party public record databases, social media, and search engines.
Knowledge of privacy regulations and compliance requirements.
Dedicated to meeting the expectations of internal and external customers.
Proficiency with MS Office products.
Ability to be flexible and multi‑task.
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.
The Company is an equal employment opportunity employer.
Sponsorship not Offered for this Role.
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The SIU Support Specialist will be responsible for conducting background investigations through research, analysis, and interpretation of public record databases, online data sources, and social media to support SIU and Claim departments. The specialist serves as the central triage point for incoming SIU referrals, reviewing each referral for completeness, assessing initial fraud indicators, assigning priority based on established criteria, and routing matters appropriately to investigative staff. The role also encompasses proactive fraud detection through monitoring of internal claim activity, system alerts, data anomalies, and emerging patterns that may indicate fraud risk.
Conduct comprehensive background investigations using public‑record databases, online resources, and social media.
Validate the accuracy and relevance of data gathered from multiple sources.
Prepare detailed, timely, and accurate reports documenting investigative findings.
Capture all investigative requests and triage actions within the SIU tracking system.
Ensure adherence to all privacy, confidentiality, and compliance requirements.
Support investigators by gathering and analyzing claim, provider, and claimant information.
Monitor internal and external data sources to proactively identify potential fraud and emerging patterns.
Escalate suspicious activity to SIU leadership for review and follow‑up.
Coordinate with SIU and Claims staff to support effective and efficient case resolution.
Manage sensitive and confidential information with discretion and sound judgment.
Balance independent analytical work with active participation in collaborative investigative efforts.
Qualifications
Associates Degree / Bachelor’s degree preferred.
Minimum of one to three years of insurance experience.
Knowledge of insurance claims handling processes.
Prior experience conducting investigative work preferred but not required.
Advanced problem‑solving and research skills.
Ability to extract data and cross‑reference resources.
Strong knowledge of third‑party public record databases, social media, and search engines.
Knowledge of privacy regulations and compliance requirements.
Dedicated to meeting the expectations of internal and external customers.
Proficiency with MS Office products.
Ability to be flexible and multi‑task.
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.
The Company is an equal employment opportunity employer.
Sponsorship not Offered for this Role.
#J-18808-Ljbffr