PRIMARY PURPOSE:  To perform claims investigations utilizing online public and subscription database searches; to conduct various research investigations using specialized techniques and technologies; to analyze results for red flag indicators; to compile results, document findings in detailed, professional reports and make recommendations as appropriate.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs research investigation assignments as requested by examiners, clients or assigned legal counsel.
• Conducts thorough search and inspection of available public and subscription database records.
• Conducts comprehensive background investigations, medical and other facility canvasses, social media searches, social media monitoring, geo-fencing, skip traces, and other specialized research investigations.
• Documents findings in a detailed, professional investigative report.
• Identifies, documents and communicates red flag indicators and makes additional handling recommendations as appropriate.
• Maintains proper documentation of all relevant facts and evidence pertaining to the case in the appropriate claim handling system(s) and ensures investigations are completed according to service expectations and SIU best practices.
• Maintains technical competency and adherence with all applicable legal codes and statutes to ensure all investigations are conducted in a legal and ethical manner.
• Complies with deposition and courtroom testimony appearances as requested.
• Conducts training for new team members as requested.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization’s quality program(s).

QUALIFICATIONS

Education & Licensing

Bachelor’s degree from an accredited college or university preferred.

Experience
Two (2) years insurance industry experience or equivalent combination of education and experience.

Skills & Knowledge

• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• Analytical and interpretive skills
• Good judgment and discretion skills
• Ability to manage multiple assignments and set priorities

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:  Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:  Computer keyboarding, travel as required

Auditory/Visual:  Hearing, vision and talking

NOTE:  Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.  They are not intended to constitute a comprehensive list of functions, duties, or local variances.  Management retains the discretion to add or to change the duties of the position at any time.