The SIU Investigator will review and investigate referrals to AmTrust SIU to identify any suspicious indicators to evaluate for the potential of insurance fraud (perpetrated by claimants, insured, agents, brokers, providers)  The SIU Investigator will be responsible for all Desktop Investigative activities related to the investigation of the file, communication with Law Enforcement, Departments of Insurance and other Carriers.

NOTE:  This is a remote position, the candidate can work remotely, but they must be domiciled in CA.

• Evaluate investigative referrals to determine if suspicious elements are present and justify an SIU investigation.
• Collaborates closely with underwriting, audit and claims personnel to evaluate all aspects of a referral and determine an investigative path, and documents investigative plan.
• Conducts Investigative/Fraud related training to meet regulatory requirements or other related topics
• Tracks and documents all investigative activities and results
• Conducts in-depth investigative searches via designated tools, and conduct telephonic investigations to develop facts in all cases.
• Provides professional, timely and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues pertaining to SIU and investigative referrals.
• Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud.
• Monitor completed investigations for impacts and prosecutorial judgements.

• An Associate’s or Bachelor’s degree in criminal justice or a related field from an accredited college or university; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, or seven years of professional investigation experience
• Demonstrated experience with commercial casualty, property, automobile, and workers’ compensation insurance products.
• Demonstrated ability to interpret and analyze large amounts of data and make an informed, calculated decisions
• Respect for confidential information
• Excellent organizational and time management skills

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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