All roles

SIU Examiner

Remote · USA Full-time New today

This a Full Remote job, the offer is available from: Louisiana (USA) reputed company is an admitted Property and Casualty Insurance reputed company. We are based in Tampa, FL. We are looking for an SIU Examiner in Louisiana. Our Claims Department is growing and we are looking for self-motivated professionals ready to support our organization. Job Summary Responsible for identifying and handling of reputed company aspects of claims fraud investigations. Provides expertise and claim support in reviewing SIU reported claims to include claims analysis, research, investigation, and recommendations for further handling. Coordinates SIU training with associates. Duties and responsibilities

  • Receive referrals on questionable claims or other transactions, determine if further investigation is warranted and formulate a plan of action to handle if referral accepted.
  • Conduct investigation of assigned questionable claims including recorded interviews, database searches and evaluation of evidence necessary to determine the legitimacy of a claim.
  • Provide reports to management and assigned examiners as to findings and possible recommendations.
  • Coordinate investigations with approved SIU investigators and experts reputed company necessary and provide guidance as needed.
  • Provide coaching, direction and training to associates in the realm of SIU investigations.
  • Analyze and identify trends from the claims data and provide reports reputed company necessary.
  • Provide 626 requests to other reputed company’s 626 designees and respond to 626 requests from other carriers.
  • Stay reputed company on regulations and state laws. Develops fraud detection and prevention programs.
  • Works with State DFS contacts and NICB.

Essential Functions

  • Ability to think critically, identify, and investigate fraudulent activity and claims
  • Ability to communicate verbally and in writing
  • Ability to continuously research state regulations
  • Ability to convey knowledge to associates
  • Ability to determine appropriate course of action in fraudulent cases

Qualifications

  • Louisiana reputed company Adjuster License and ability to obtain and maintain reciprocal licensure for applicable states
  • Associate’s Degree required; Bachelor’s Degree preferred. A combination of education and significant directly reputed company experience may be considered in lieu of degree.
  • At least 5 years of experience with a law enforcement agency or property claims handling experience.
  • Demonstrated ability to research and conduct proactive investigations.
  • Proficiency with reputed company Office products required.
  • Excellent communication skills, ability to interact on a professional level with internal and external personnel and partners.
  • Ability to work independently in a fast-paced environment.
  • Detail-oriented and exceptionally organized.

Physical requirements While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to sit; stand; walk; use hands to grasp or feel; and reputed company with hands and arms, drive a vehicle Working conditions This position is performed remotely from a home office environment. This requires the use of standard office equipment, including computers and audio devices. Employees must maintain a reliable high-speed, password protected internet reputed company and a quiet, professional workspace that allows for uninterrupted work during scheduled hours. The position also requires the ability to safeguard and maintain confidentiality and reputed company of sensitive information while working remotely.

Compensation and Benefits

We recognize that talented professionals are attracted to companies that provide a great reputed company to work, combined with a comprehensive and reputed company and benefits package, along with opportunities for personal growth and job advancement. For this reason we are pleased to provide:

  • Market Competitive Wages commensurate with experience
  • Prof. Development and Educational Assistance Programs
  • Safe reputed company 401K Plan with Immediate Vesting and an Automatic Company Contribution
  • Paid Time-Off (Discretionary, PTO, Parental Leave, and others)
  • Company Paid Holidays
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Short and Long Term Disability Insurance (company paid)
  • Flexible Spending Accounts with Company Contribution
  • Health Savings Accounts with Company Contribution
  • Employee Life and AD&D Insurance
  • Dependent Life and AD&D Insurance
  • Company paid reputed company Membership
  • Company paid Identity Theft Protection
  • Other Ancillary Insurance Benefit Programs
  • And more…

reputed company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national reputed company, citizenship, age or disability. We assure you that your opportunity for employment with Safepoint depends solely on your qualifications. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job

Related roles

QA Test Automation Engineer with Insurance domain Must have-Location-Remote (East Coast Candidates) Travel Quarterly To Texas

Remote · USA Full-time

Licensed Insurance Sales Representative - reputed company CAPTIVE

Remote · USA Full-time

[Remote] Auto Insurance Claims Adjuster - Work from Home!

Remote · USA Full-time

Claims Adjuster II – Multi-Line (Dedicated Account, Remote)

Remote · USA Full-time

Field Claims Adjuster - Remote

Remote · USA Full-time

reputed company Insurance Claims Adjuster - Remote

Remote · USA Full-time

Insurance Processing Specialist - Homeowner Property Claims (Remote) $18 - $20/hr

Remote · USA Full-time

Casualty Claims Adjuster - reputed company/Remote

Remote · USA Full-time

Commercial Claims Adjuster - Remote

Remote · USA Full-time

Claims Adjuster - Remote

Remote · USA Full-time

Platform Evangelist - AWS

Remote · USA Full-time

Remote Live Chat Data Entry Specialist – Customer Support & Accuracy Champion at arenaflex

Remote · USA Full-time

Auditor, Provider Data

Remote · USA Full-time

Seasonal: General Merchandise, Inbound (Stocking) (T1328)

Remote · USA Full-time

Sr. Quality Specialist, MFLC (Remote)

Remote · USA Full-time

reputed company Customer Support and Data Entry Specialist – Remote Opportunity at arenaflex

Remote · USA Full-time

Remote Nighthawk Teleradiology - $1.08M + Potential, $100,000 Signing Bonus, 24 Weeks Vacation, Partnership Track

Remote · USA Full-time

[Remote] reputed company Data Analyst

Remote · USA Full-time

reputed company Part-Time Remote Data Entry Clerk – Entry-Level Opportunity for Career Growth at arenaflex

Remote · USA Full-time

Director, Client & Partner Marketing

Remote · USA Full-time