SIU Coordinator

Overview

The SIU Coordinator role involves reviewing case files, outlining detailed records, and assisting with compliance efforts. The SIU Coordinator will review and report potential fraud to the proper state agencies along with tracking requests generated from DOI referrals. The SIU Coordinator may have direct communication with Law Enforcement, Departments of Insurance, and outside Carriers. The SIU Coordinator will assist with gathering data for state reporting purposes that involves SIU. The SIU Coordinator must maintain a solid understanding of AmTrust's mission, vision, and values, and the SIU Coordinator must uphold the standards of the organization.

Responsibilities

· Organize case files, including evidence and documents, ensuring accurate record -keeping

· Collaborates with claims personnel to ensure we have all facts of a claim to create a solid case for a potential DOI referral

· Completes Investigative/Fraud related training to fulfill regulatory requirements

· Track request letters received from states that are generated from referrals filed DOI while complying with provided deadlines and ensuring all requested information is gathered, reviewed, and provided

· Provides professional, timely, and courteous communication and service to external clients and cross-departmental staff to successfully resolve issues

· Draft referrals to be submitted to state agencies when evidence is identified to indicate potential insurance fraud Communicate closely with external partners, law enforcement agencies, and regulatory bodies to facilitate cases and share outcomes

· Assist with tracking SIU data for the yearly SIU compliance reports Maintain detailed documentation of activities, including case updates, reports, communication and summaries to ensure accuracy and completeness

· Keeps current with market trends and demands

· Performs other functionally related duties as assigned

Qualifications

· An associate or bachelor’s degree in criminal justice or a related field from an accredited college or university OR 5+ years of insurance claims investigation experience OR professional investigation experience with law enforcement agencies OR 7+ years of professional investigation experience.

· Demonstrated experience with commercial casualty, property, automobile, and workers’ compensation insurance products is required.

· Demonstrated ability to interpret and analyze large amounts of data and make an informed, calculated decisions.

· Must demonstrate a high level of respect for confidential information.

· Performs other functionally related duties as assigned.

· Excellent organizational, leadership, communication, and time management skills.

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.