Siu Investigator
CurrentAnalyze first reports of loss, underlying file material, and/or underwriting file, to determine if claim is suspect or potentially fraudulentConduct a complete, in-depth investigation to develop sufficient evidence to determine the claim handling decisionRecommend a final course of Claim action including the substantiation of legitimate claim, or denial of an unjustified claim, and/or a recommendation of further punitive action to successfully execute the above.Collaborating and communicating with the following during the investigation: Claim Department, Claim Operations, Loss Control Department, Underwriting Departments, Agents, Defense Counsel, Insured’s, SIU Manager, Law Enforcement, Regulatory Agencies, and Industry Anti-Fraud OrganizationsEstablishing strong business relationships and delivering exceptional customer service.Maintaining and monitoring an active diary, properly documenting all developments in claim file, preparing investigative reports, maintaining suspicious claim database, and preparing reports on a quarterly basis to SIU management.