Job Description

SIU Investigator

The SIU Investigator is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims and auto property matters to simpler application fraud issues. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work and coordinates efforts with industry fraud units, claim personnel, counsel, law enforcement and agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. May conduct fraud awareness training and/or investigative research. The individual will work in the field and be provided with a company issued computer, phone and vehicle. This is a field position requiring work from home arrangement and daily travel throughout MA by company car.

This position's primary coverage territory is North of Boston (North Shore) so the preferred candidate will reside within this territory.

Essential Functions and Responsibilities:

• Conducts in-person interviews
• Prepares clear, concise, detailed reports
• Provides recommendations on the disposition of claims
• Prepares cases for potential defense and/or prosecution
• Examines and analyzes evidence to make recommendations on the acceptance or denial of claims
• Protects the company assets and policyholders from fraudulent activity
• Identifies, investigates, and refers fraudulent claims to the Insurance Fraud Bureau, NICB, or Law Enforcement

Qualifications & Education:

• Comprehensive knowledge of MA personal and commercial lines automobile policies and the laws governing insurance
• Possesses excellent written and verbal communications skills
• Demonstrated level of competency in time management, priority setting, action orientation, customer focus and composure
• The ability to effectively utilize a task manager/claim system to manage messages, diary and system-generated reminders
• BS/BA degree (preferably Criminal Justice)
• Minimum of five years' experience within the insurance industry
• Prior SIU field investigation experience and/or similar related insurance or investigation or law enforcement background experience is a plus
• Working knowledge of Personal Lines and Commercial Lines Auto Policies

Perks & Benefits:

• 4 weeks accrued paid time off + 9 paid national holidays per year & 2 Floating Holidays
• Free onsite gym at our Boston Location
• Tuition Reimbursement
• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Robust health and wellness program and fitness reimbursements
• Auto and home insurance discounts
• Matching gift opportunities
• Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
• Various Paid Family leave options including Paid Parental Leave
• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
• Convenient location directly across from South Station and Pre-Tax Commuter Benefits

Salary Range:

The pay range for this position is $63,000 to $91,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".

Job Tags

Similar Jobs