SIU Investigator - Miami, FL

Univista Insurance is looking for a SIU Investigator to identify and investigate potential fraudulent claims. The role involves conducting thorough investigations, gathering evidence, and collaborating with internal teams to prevent and detect fraud.

Responsibilities

• Investigate suspicious claims for potential fraud, including interviews, surveillance, and evidence collection
• Analyze claims data to identify patterns and red flags that may indicate fraudulent activity
• Prepare detailed investigation reports, documenting findings and supporting evidence
• Present investigative findings to management and regulatory bodies as needed
• Work closely with claims adjusters, legal teams, and law enforcement to support fraud investigations
• Assist in developing strategies to prevent fraud and improve claims processes
• Ensure investigations comply with company policies, industry regulations, and legal requirements
• Maintain confidentiality of sensitive information related to investigations

Skills

• High School Diploma or G.E.D
• 6 months of claims handling or investigative experience in any field
• Bilingual in English and Spanish is required
• Strong customer service and communication skills
• Basic proficiency in Microsoft Office
• Experience in Loss Prevention and Surveillance preferred
• Active insurance adjuster's license preferred; must obtain and maintain as needed
• High school diploma or equivalent; bachelor's degree in business, or related field preferred

Company Overview