Siu Manager

Job Description:
Job Summary: Manage a team of 2 to 4 SIU representatives. Create and maintain fraud awareness amongst the claims staff. Conduct specialized fraud awareness training companywide. Review and investigate referrals to the SIU to identify suspicious indicators of potential fraud committed by claimants, insureds, agents, brokers, providers and attorneys. Conduct desktop and field investigations, manage outside vendors and communicate with law enforcement, Departments of Insurance and other insurance carriers.
Essential Duties and Responsibilities:

• Evaluate investigative referrals to establish if there are suspicious elements present that might warrant a SIU investigation
• Identify and investigate suspicious claims of all types
• Recommend investigative action plans
• Conduct desktop and field investigations
• Interview parties involved in suspicious claims
• Participate in EUOs as necessary
• Review legitimacy of claim documentation received

• Identify potential fraud

• Obtain, evaluate and act on information and documentation received and communicate with the claims staff, other insurance carriers, and law enforcement organizations such as the NICB, Department of Insurance, etc.
• Conduct data analysis and utilize analytical tools to identify suspicious claims

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education and/or Experience

• Bachelor's degree from a four-year college or university preferred
• 2-4 years related experience and/or training; or equivalent combination of education and experience
• Personal lines and Commercial lines SIU experience completing complex coverage & liability investigations on 1st & 3rd party claims
• SIU leadership experience preferred
• Former law enforcement experience is a plus

Knowledge/Skills

• Detailed oriented with the ability to work in a team environment and be flexible to daily changing needs and job duties
• Ability to analyze and problem solve, working closely with others to coordinate and complete projects
• Excellent oral, written and interpersonal communication skills
• Must be customer service oriented, highly organized and efficient
• Spanish/multiple language skills a plus
• High energy, self-starter mentality

Computer Skills

• Intermediate to Advanced Microsoft Office Skills/multiple software applications
• Fluent with multiple investigative computer programs such as TLO, ISO, Accurint, etc.

Certificates, Licenses, Registrations

• TX Adjuster License
• Prefer industry related professional designations such as FCLS and or CIFI

Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.