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Skills: Insurance claims investigation, Field investigation, Evidence analysis, Examination under oath, Fraud detection
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$62k–$103k/yr
Full-time
bachelor degree
Medical, Dental, Vision, Paid time off, 401k
Posted 8d ago
~40 hrs/week
Remote in Houston, Texas, United States
Responsibilities
The SIU Investigator conducts field and desk investigations of insurance claims to analyze facts and develop evidence. They coordinate with law enforcement, fraud divisions, and other investigative units to ensure operations comply with legal standards.
Requirements
Candidates must have at least three years of insurance claims or professional investigation experience and a college degree or equivalent. Proficiency in digital metadata, internet research, and casualty insurance principles is required.
Full job description
Location(s)
P&C-N Freeway-Houston-TX
Details
Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises.
Position Summary:
The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working from her/his residence and servicing the Houston and surrounding areas. Basic functions include: Investigation of claims, analysis and development of facts and evidence, and conducting and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop computer, cell phone and digital camera, MP3 recorder and other office equipment will be provided. Applicants must have the ability to travel.
Position Responsibilities:
Attends necessary training schools and participates in training to develop and improve skills, develops contacts, and meets state regulatory educational requirements.
Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.
Maintains a diary system on all assigned files. Diary system is to be worked so that the tempo is sufficient to assure prompt and timely recommendations.
Prepares necessary reports for state fraud bureaus and cooperates with state agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised of all critical situations.
Reports findings of all investigations and makes recommendations to the responsible manager or other designee in a timely manner to facilitate prompt decisions.
Develops and maintains contacts with other special investigative units and fraud related organizations.
Acquires and maintains current knowledge in all appropriate jurisdictions regarding changes in law to ensure operations are within proper parameters established by law.
Position Qualifications:
College Degree or equivalent work experience.
Three years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or
Five years of professional investigation experience involving economic or insurance related matters; or an authorized medical professional to evaluate medical related claims.
Must have a working knowledge of Digital photo and document metadata and have experience with using the internet and social networking for investigative purposes.
The candidate must possess knowledge of the principles of casualty insurance and the auto casualty claims adjustment process.
Investigative and legal expertise needed for this position.
Completion of the NICB Basic and/or Advanced Academies and the Reid Interviewing and Interrogation Courses are desirable.
Must have excellent communication skills and thorough working knowledge of Microsoft office applications.
Must demonstrate a thorough knowledge of the workings of related state and federal agencies. The SIU investigator must possess oral and written communications skills and promote a favorable company image to the public.
Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred.
A valid driver’s license and clean driving record is required.
The salary range for this position is $61,900 - $102,900. When determining candidate offers, we consider experience, skills, education, certifications, and geographic location among other factors. This job is also eligible for our Kemper benefits package (Medical, Dental, Vision, PTO, 401k, etc.)
Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination.
Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee.
Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it.
The Kemper family of companies is one of the nation’s leading specialized insurers. With approximately $12 billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to individuals, families and businesses through its Kemper Auto and Kemper Life brands. Kemper serves over 4.6 million policies, is represented by approximately 24,200 agents and brokers, and has approximately 7,500 associates dedicated to meeting the ever-changing needs of its customers.
Offices: 200 East Randolph Street, Suite 3300, Chicago , IL 60601 , US
Auto InsuranceCommercial Auto InsuranceHome InsuranceLife InsuranceAccident and Health Insuranceand Personal Catastrophe Liability InsuranceConsumerFinanceConsultingInsurance
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