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SIU Investigator - Orlando, FL

Work from home Full-time role Hiring

Univista Insurance is a fast-growing bilingual insurance organization supporting clients throughout Florida. They are seeking a SIU Investigator to identify and investigate potential fraudulent claims, conduct thorough investigations, and collaborate with internal teams to prevent and detect fraud.

Responsibilities

  • Investigate suspicious claims for potential fraud, including interviews, surveillance, and evidence collection
  • Analyze claims data to identify patterns and red flags that may indicate fraudulent activity
  • Prepare detailed investigation reports, documenting findings and supporting evidence
  • Present investigative findings to management and regulatory bodies as needed
  • Work closely with claims adjusters, legal teams, and law enforcement to support fraud investigations
  • Assist in developing strategies to prevent fraud and improve claims processes
  • Ensure investigations comply with company policies, industry regulations, and legal requirements
  • Maintain confidentiality of sensitive information related to investigations

Skills

  • High School Diploma or G.E.D
  • 6 months of claims handling or investigative experience in any field
  • Bilingual in English and Spanish is required
  • Strong customer service and communication skills
  • Basic proficiency in Microsoft Office
  • Negotiate settlements with claimants or their representatives, ensuring fair and equitable agreements
  • Adhere to ethical standards and guidelines while handling claims and interacting with stakeholders
  • Strong problem-solving skills with a focus on delivering timely and effective resolutions to customer issues
  • Strong organizational and time management skills to handle multiple tasks efficiently
  • Professional, energetic, and ability to thrive in a fast-paced environment and adapt to changing priorities
  • Excellent verbal and written communication skills. Ability to articulate solutions clearly and concisely
  • Experience in Loss Prevention and Surveillance preferred
  • Active insurance adjuster's license preferred; must obtain and maintain as needed
  • High school diploma or equivalent; bachelor's degree in business, or related field preferred

Benefits

  • Real base pay — Competitive salary based on your experience and license
  • Medical Insurance — Comprehensive health coverage for you
  • Dental & Vision — Full dental and vision plans included
  • Supplemental Plans — Voluntary supplemental options available
  • Basic Life Insurance — Company-paid life insurance policy
  • 401(k) with Match — We invest in your retirement savings too
  • Paid Time Off — 2.5 weeks of PTO to start, growing with tenure
  • Sick Time — Dedicated sick time, separate from your PTO
  • Performance Bonus — Structured plan tied directly to your results
  • Employee Referral Program — Earn rewards for bringing great talent in

Company Overview

  • UniVista Insurance is an independent, family-owned, and operated franchisor of insurance-related products and services. It was founded in 2006, and is headquartered in Miami, Florida, USA, with a workforce of 201-500 employees. Its website is https://www.univistainsurance.com/.
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