https://sentryinsurance.wd1.myworkdayjobs.com/SentryCareers/job/Goldsboro-NC/Special-Investigator_JR-143147

This position will be seated at our office Nashville, TN or Goldsboro, NC locations. 

 As an SIU Desk Investigator, you will conduct basic to moderately complex claims investigations on potentially suspect/inflated auto, workers’ compensation, and commercial claims which may include but is not limited to compiling and analyzing information from internal and external sources, conducting interviews, hiring independent contractors, and referring claims to various law enforcement entities as required by law.

Investigate claims to identify suspect or inflated claims across all lines of business. This may include conducting scene investigations, taking recorded statements, assigning independent contractors, etc.

Compile and analyze data and information from these internal and external sources to aid in making suspect claims decisions that adhere to state and federal laws. Verify legitimacy of documents as necessary.

Conduct recorded interviews and examinations under oath of insureds, claimants, and witnesses for claims that involve suspicious indicators.

Maintain detailed investigation notes within SIU case management and claim systems, prepares summary reports to capture findings and recommends course of action to management which may include referring to law enforcement.

Communicate with company, industry and law enforcement fraud agencies (i.e. NICB, Index Bureau, FBI, etc.)
Communicate non-confidential material to claim staff concerning conclusions on suspicious claims submitted to the SIU.

Represents the company in court appearances as a possible witness on suspected fraudulent claims, including state and/or federal courts or grand jury hearings.

Motivate the claim staff to combat fraud and inflated claims using techniques such as creating office banners and visual aids, publishing specific case results and conducting meetings.