Full job description

MCR provides sources designed to detect and deter fraudulent claims. As an SIU Investigator, you will analyze, prioritize and summarize information to help uncover potentially fraudulent activity.  The investigator will conduct thorough and comprehensive investigations.  This position plays a vital role in helping our clients make informed decisions regarding insurance claims.  This position is a remote home office position.

Looking for candidates in the Los Angeles, Orange and San Bernardino county areas

What Will You Do?

• Conducts insurance investigations including applicable data base searches with a focus on uncovering all potentially fraudulent aspects of a claim.
• Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion.
• Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations.
• Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
• Serves as the subject matter expert (liaison) on fraud to business and industry partners.
• Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
• Testifies to findings.
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

• Bachelor’s Degree preferred.
• Analytical skills and ability to make deductions; logical and sequential thinker. – Intermediate.
• Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process – Intermediate.
• Effective business communication skills (Written & Verbal) – Intermediate.
• Computer literate; database, Internet and social media proficient – Intermediate.
• Interviewing skills – Intermediate.
• Computer literate; database and internet emerging social media use/search proficiency. – Intermediate.
• Conflict management skills to deal with crisis situations, hostile witnesses, etc. -Advanced.
• Must be a self-motivated individual – Intermediate.
• Excels at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while preserving material that leads to the resolution of the investigation. – Intermediate.
• Knowledge of available resources (internal and external) to assist in investigations – Intermediate.
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products. – Basic.
• Time management and accurate record keeping, Strong case management skills and the ability to manage your own work independently. – Intermediate.
• Understanding of claim best practices – Intermediate.
• A minimum of two years of investigative experience or a minimum of three years insurance claim or underwriting or legal related experience required.
• Valid driver license required.

Physical Requirements:

• Ability to sit for extended periods of time in a vehicle
• Ability to operate and carry recording equipment
• Capacity to work in various weather conditions and environments