SIU Auto Investigator (Greater Houston, TX)

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best - protecting and restoring their dreams when they need us most. We're applying our expertise, technology and new ways of working to reinvent one of America's largest industries-creating positive impact that empowers our customers, communities, and company to thrive. We are problem solvers who ask critical questions and solve challenges big and small. Together, we change what's expected of insurance.
The SIU Investigator investigates low to moderately complex insurance fraud activity involving multi-line claims, you'll build a meaningful industry social network and assist SIU leadership in promoting fraud awareness and detection with internal and external partners, agents and customers. Reporting to the SIU Manager, you will work in the field and remote office setting.
Compensation Minimum:$68,000/Year
Compensation Maximum:$111,000/Year
Compensation may vary based on the job level and your geographic work location.
Principle Responsibilities

• Evaluate investigation assignments to ensure SIU intervention is warranted.
• Identify evidentiary leads and utilizes efficient investigative techniques to pursue and acquire relevant evidence that accurately resolves all fraud concerns.
• Produce a work product that can stand the test and scrutiny of the courts/legal system.
• Communicate with internal and external partners regarding investigations and insurance fraud matters.
• Maintain contact with public agencies and other sources concerning insurance fraud issues and investigations. Be a liaison between the company, police and fire officials.
• Develop meaningful relationships with internal and external partners as a subject matter expert that contribute to insurance fraud detection.
• Develop and deliver insurance fraud awareness training to internal and external partners as a subject matter expert.

Requirements

• Candidate will reside in the Greater Houston, Texas area.
• The ideal candidate will possess 5 or more years' experience investigating medical providers for fraud and abuse or questionable P&C bodily injury claims involved in multi-claim schemes.
• An associate's or bachelor's degree in criminal justice or a related field; or
• Five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or
• Seven years of professional investigation experience involving economic or insurance related matters; or
• Or an authorized medical professional to evaluate medical related claims
• Internal candidates are encouraged to apply regardless of location and will be considered based on the needs of the role.
• Offer to selected candidate will be made contingent on the results of applicable background checks
• Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions
• Our policy restricts consideration of applicants needing employment sponsorship (visa) to specialty occupations. Sponsorship will not be considered for this position.

We encourage you to apply even if you do not meet all of the requirements listed above. Skills can be used in many different ways, and your life and professional experience may be relevant beyond what a list of requirements will capture. We encourage those who are passionate about what we do to apply!
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
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