compensation: Commensurate with experience employment type: full-time
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SIU Insurance Fraud Analyst Citrus Heights, CA (or Remote) Probe Information Services, Inc. is a growing insurance defense investigation company that has one of the best Special Investigation Units in the industry. As a result of our expansion, we are seeking a full time SIU Insurance Fraud Analyst with a passion for research, writing and investigating. We provide initial and on-going training, opportunity for growth, a positive work environment and a versatile and interesting caseload. The right candidate is skilled and demonstrates a passion for research and analysis of medical reports, surveillance, depositions, claims and other investigative evidence. The Analyst’s findings are compiled into a professional report with recommendations to benefit our clients. The Analyst will be trained to provide consultation and strategic direction on suspicious or problematic nationwide insurance claims (workers’ compensation, general liability, property & casualty, auto) as well as coordinate with law enforcement regarding criminal investigations through to prosecutions.
Core Duties & Responsibilities:
Review and analyze suspicious insurance claims from insurance carriers, third party administrators and self-insureds located in California and nationwide (Workers’ Compensation, General Liability, Property & Casualty, Auto)
The Analyst will review and research evidence including surveillance film, investigative reports, social networking, depositions, statements, CPT codes, billing discrepancies, shell companies, etc. wherein they will analyze the overall fact pattern of the claim and synthesize the data into a professional report with recommendations for the client.
The Analyst will make sure all insurance carrier clients are in compliance with fraud reporting requirements in California and nationwide
Prepare and coordinate field assignments to obtain relevant evidence and information while meeting objectives and providing recommendations
Coordinate with defense attorneys to provide deposition strategies
Prepare and package prosecutable cases for law enforcement. Successfully work with investigators, detectives and prosecutors during criminal investigations, while keeping clients updated
Successfully manage a large and varied case load; prioritizing cases effectively and efficiently and achieving positive results
Provide superior customer service
Qualifications & Requirements:
Experience in related field a plus (i.e. risk management, insurance industry, medical field, nurse case management, investigations, law enforcement, fraud, financial crime, etc.)
Bachelor’s degree highly preferred
Excellent verbal and written communication abilities are mandatory
Advanced computer and typing skills; competent with computer applications
Structure, Compensation & Benefits:
Reports to Director of SIU
Full Time in office position or remote if experienced. Traditional business hours Monday through Friday, flexible start time, with an option of a 9/8/80 schedule.
Starting salary is competitive and is commensurate with experience
Probe offers a comprehensive compensation and benefits package that includes a competitive salary, medical, dental, vision, life, short term disability, FSA healthcare, FSA dependent care, EAP, paid time off (PTO) and matching 401(k) for full time employees
Positive work culture, initial and on-going training and opportunity for advancement; working in a busy and rewarding environment and as part of Probe’s dynamic and passionate SIU team located in Probe’s headquarter office in Sacramento (Citrus Heights), CA
Application Instructions: We look forward to hearing from qualified candidates. If you feel that this description is consistent with your skills and career goals, CLICK HERE TO APPLY. Once you have submitted your resume, you will immediately be directed to answer a brief questionnaire. A completed questionnaire is necessary to be considered for our position. About Probe Information Services: Probe Information Services, Inc. is a nationwide SIU and Investigations company that provides high-level anti-fraud and compliance services. We are a very stable company that is continuing to grow and expand our service territory. We have been providing our superior investigative services to insurance companies, third-party administrators, and self-insurers since 1992. Why work for Probe? We are passionate about providing the highest quality service to our clients and are incredibly proud of our 100% client retention rate. If you succeed in a fast-paced, quality-service oriented culture that promotes teamwork, innovation and accomplishment, then join Probe Information Services and be part of an amazing team in the exciting field of investigation, surveillance and anti-fraud services. Probe is an Equal Employment Opportunity/Affirmative Action employer and is committed to providing reasonable accommodations to individuals with disabilities. If due to a disability you need an accommodation to use our online system to apply for a position at Probe, please call us at 800-397-6517.
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