SIU Investigator Lead
GMAC Insurance Personal Lines - Cleveland, OH

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Basic Function - Identify and investigate questionable claims/risks and deliver facts and assistance to internal and external customers. Investigations involve handling all aspects of the investigation .
  • Duties and Responsibilities - Receives referral, communicates with referring sources, verifies need for investigation and documents all appropriate information. Manager and/or Team Lead reviews and assigns to appropriate investigator 5%
  • Independently establishes an investigative plan; initiates investigation by gathering facts and evidence with all interested parties; completes appropriate reports; runs appropriate database checks, takes recorded statements when necessary; Net map referrals as necessary; hires appropriate experts with coordination of claim rep and supervisor and documents investigative activity. Completes both inside and field investigative tasks. 65%
  • Independently evaluates investigative findings on a daily basis, communicates with referring source and determines need for additional investigative activity.5%)
  • Works with vendors in setting expectations and resolving questions raised through the investigation. Tracks and documents the quality of service provided by defense counsel and forensic experts and manages vendor costs. 10%
  • Evaluates facts, reviews and determines applicable laws, regulations and cases to claim and determines state fraud reporting requirements; summarization of investigative findings to referring source.5%
  • Performs other projects and assignments as agreed upon with management. This may include but not limited to attending industry related meetings. 5%
  • Provides training to internal and external customers. 5%

GMAC Insurance Personal Lines - 17 months ago - save job - block