- Remote, United States
- Remote
- Full-time · Senior
- $62K–$125K per year
The Special Investigative Unit Senior Consultant I is responsible for investigating and analyzing complex and occasionally highly complex, multi-discipline coverage and claims that have been referred to the Special Investigative Unit (SIU) for potential fraud.
Compensation
Special Investigative Unit Consultant II: $62,100 - $105,300; Special Investigative Unit Sr Consultant I: $68,500-$117,700; Special Investigative Unit Sr Consultant II: $70,100 - $124,500
Responsibilities
- Makes claim decisions regarding complex and occasionally highly complex investigations, and pursues restitution
- Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues
- Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
- Conducts thorough investigations of complex and occasionally highly complex multi-discipline claims and ECL claims that are potentially fraudulent to determine if payment is warranted
- Utilizes analytic tools or SIU field intelligence to identify complex and occasionally highly complex claims for investigation and/or for support in the evidence of the fraud and damages
Requirements
- Nice to have: Special Investigations Unit (SIU) background