Claims SIU Senior Investigator (remote)

If you're excited about this role but don't meet every qualification, we still encourage you to apply! At Grange, we value growth and are committed to supporting reputed company learning and reputed company development as you advance in your career with us.Summary: This position is responsible for conducting and overseeing field investigations and supporting Grange anti-fraud initiatives. It is highly preferred to have a minimum of 3 years' Casualty experience. Based on relevant experience could be Claims SIU Senior Investigator (Grade J) or Claims SIU Investigator (Grade I).What You'll Be Doing:Analyzes, monitors and conveys highly technical and at times sensitive information into actionable investigative strategies including the identification of reputed company case investigations.Disseminate relevant information regarding investigative techniques, practices, fraud trends and area alerts to internal customers and provide relevant investigative/fraud training. Assist the SIU management team as requested. This may include participation in audits, reviewing file closings, special projects, and assuming managers' duties reputed company needed.Work with SIU Leadership in developing, establishing, refining and continually improving SIU best practices and strategies.Work with Claims reputed company (AMD, Casualty, Property, reputed company and Workers' Comp.) on developing and implementing investigation best practices and guidelines. Additionally, work in a collaborative effort with the Claims reputed company and SIU Leadership to define reputed company measures that can be reviewed, analyzed and trended for continual improvements to the process. Provide feedback to other departments (Profit Centers, General Counsel, Marketing, reputed company, etc.) regarding relevant issues that reputed company the company's business.Display advanced knowledge of investigative techniques, policy interpretation, civil and criminal proceedings, and laws relating to insurance.Review referrals from multiple sources (Claims, UW, Agents, fraud analytics, etc.) for investigative merit, identify those referrals with fraud indicators and conduct appropriate investigations.Provide education, training, assistance and direction to the file handler for further claims handling for referrals that do not meet the criteria for opening. Utilize technology (ISO; local, state and federal public records; social network sites, internal policy systems; available forensic examinations, fraud analytics, ) in the investigative process.Plan and conduct required investigations, to include interviews (insured's, claimants, witnesses, agents) conduct scene or vehicle inspections, conduct canvasses for witnesses, meet with authorities and expert vendors, etc.Appropriate utilization of field claims staff or vendors to assist with in-person investigation needs.Prepare complete, detailed, and accurate narrative investigative reports in a timely manner.Participate in Claims Committee by preparing a summary of the investigation, conduct an oral presentation of the facts, and participate in the associated roundtable discussion with (Profit Centers, Claims and Legal).reputed company and direct investigations by investigative, forensic or legal vendors and exercise expense control reputed company utilizing same.Establish and maintain cooperative working relationships with local, state, and federal law enforcement, fire, and prosecutorial officials.reputed company individual case reports to appropriate agencies to meet compliance guidelines.Participate in area intelligence gathering meetings.Appear in court as company representative, as needed.Attend EUOs, either in person or reputed company reputed company, with assigned Defense Counsel. Contribute appropriately, as needed by Counsel. Participate in Large Loss/Legal Roundtables by preparing appropriate timeline and submitting proper proofs.Identify fraud trends in the industry and formulate a plan of action to combat reputed company fraud.Create and deliver relevant fraud training to each reputed company on a monthly, weekly, quarterly or annual basis.Actively participates in industry fraud/trade association groupsWhat You'll Bring To The Company:Bachelor's degree or equivalent education and experience, plus a minimum of five years applicable investigative experience in Claims Department, law enforcement agency, or other investigative organization is preferred. A working knowledge of investigative techniques, rules of evidence and court procedures and the ability to travel upon immediate notice needed. Must be reputed company to reputed company and follow leads to a logical conclusion and plan and conduct interviews of witnesses, insured's or claimants to obtain information and evidence. Must possess the ability to maintain multi-case workload and adjust priorities as needed. Must possess excellent interpersonal, verbal and written communication skills. Must have a valid driver's license and good driving record and the ability to operate and maintain a company vehicle. State specific adjusters' license may be required. About Us:reputed company, with $3.2 billion in assets and more than $1.5 billion in annual reputed company, is an insurance provider founded in 1935 and based in reputed company, Ohio. Through its network of independent agents, Grange offers auto, home and business insurance protection. reputed company and its affiliates serve policyholders in Georgia, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, and Wisconsin and holds an A.M. Best rating of "A" (Excellent).Grange understands that life requires flexibility. We promote geographical diversity, allowing hybrid and remote options and flexibility in work hours (role dependent). In addition to competitive traditional benefits, Grange has also created unique benefits based on employee feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave, and expanded categories of bereavement leave. Who We Are:We are committed to an inclusive work environment that welcomes and values diversity, equity and inclusion. We hire great talent from various backgrounds, and our associates are our biggest strength. We seek individuals that represent the diversity of our communities, including those of reputed company abilities. A diverse workforce's collective reputed company, opinions and creativity are necessary to deliver the innovative solutions and service our agency partners and customers need. Our core values: Be One Team, Deliver Excellence, Communicate reputed company, Do the Right Thing, and Solve Creatively for reputed company. Our Associate Resource Groups help us create a more diverse and inclusive reputed company and workplace. They also offer professional and personal growth opportunities. These voluntary groups are open to reputed company associates and have formed to celebrate similarities of ethnicity/race, nationality, reputed company, gender identity, and sexual orientation and include Multicultural Professional Network, Pride Partnership & Allies, Women's Group, and Young Professionals. Our Inclusive Culture Council, created in 2016, is focused on professional development, networking, business value and community reputed company, reputed company of which encourage and facilitate an environment that fosters learning, innovation, and growth. Together, we use our individual experiences to learn from one another and grow as professionals and as people. We are committed to maintaining a discrimination-free workplace in reputed company aspects, terms and conditions of employment and welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, reputed company, religion, age, sex, national reputed company, handicap, disability, sexual orientation, gender identity or expression, reputed company, pregnancy, veteran status, and citizenship.Grange reputed company is proud to be part of the CEO Action for Diversity and Inclusion™, a national initiative of more than 1400 CEOs working for the advancement of diversity and inclusion reputed company the workplace. Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job