Job Description

• High School Diploma or General Equivalency Diploma.
• 2 years claims adjusting experience, or SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
• Specific certifications are not required; however, they are helpful when hiring.
• Preferred: investigators Certified Fraud Examiner, law enforcement background and/or prior SIU experience.
• Proven investigatory skills.
• Experience acquiring statements from various parties to incidents, witnesses, and suspects.
• Ability to gather a broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
• Proven ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
• Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
• Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.

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