Senior SIU Investigation Adjuster

As a Senior SIU Investigation Adjuster, you’ll investigate complex and highly complex insurance claims referred for potential fraud.
You’ll work across multidisciplinary claims, including attorney-represented matters, complex losses, and claims involving potential extra-contractual liability.
Your work will combine investigative research, evidence gathering, claims analysis, and critical thinking to determine whether fraud can be substantiated.
You’ll conduct activities ranging from background and online research to recorded statements, witness interviews, scene investigations, and medical or property-damage reviews.
The role requires strong judgment and attention to detail when evaluating evidence, documenting findings, and determining appropriate claim outcomes.
You’ll collaborate with claims teams and other stakeholders while ensuring investigations are thorough, accurate, and appropriately supported.
This remote opportunity is suited to an experienced investigator who is comfortable handling sensitive information and complex cases independently.

• 3+ years of investigative experience is preferred.

• Demonstrated experience investigating insurance claims, fraud matters, or other complex investigative cases.

• Strong understanding of insurance claims processes, special investigations, and fraud investigation principles.

• Experience evaluating complex and potentially fraudulent claims using multiple sources of evidence.

• Strong critical-thinking and analytical skills, with the ability to identify inconsistencies, assess evidence, and reach well-supported conclusions.

• Excellent research skills, including the ability to conduct online data searches, background investigations, and information verification.

• Strong interviewing and information-gathering abilities, including experience obtaining statements and conducting witness interviews.

• Ability to analyze medical documentation, bills, property damage information, claim records, and other relevant evidence.

• Strong written communication skills and the ability to produce clear, detailed investigative documentation.

• Excellent organization and time-management skills, with the ability to manage multiple complex investigations and competing priorities.

• Sound judgment and attention to detail when making claim recommendations and determining whether evidence supports investigative conclusions.

• Ability to manage sensitive and confidential information professionally.

• Strong customer-service and conflict-resolution skills when handling complex communications and concerns.

• Ability to work independently in a remote environment while collaborating effectively with claims, investigation, and other internal teams.

• Commitment to accurate documentation, consistent investigative processes, and continuous process improvement.

• Successful completion of any required background investigation.