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SIU Employment Opportunities

Wellington Insurance Group Investigator posting
Author Last Post
Wellington Insurance Group is looking to add a Senior Special Investigator to our Claims Department. Using investigative resources and negotiation skills, the incumbent will ensure accurate processing and pricing for a claim. Full benefits (including competitive medical, dental and vision insurance, 401k with company match, life & AD&D insurance, short-term and long-term disability insurance, and a host of voluntary benefits); competitive salary with an annual bonus opportunity.

Responsibilities

• Responsible for providing coverage analysis, investigation, thorough development of damage issues, and detailed resolution plans for claims that directly correlate with property damage, special investigations, and/or subrogation.
• Communicate effectively with law enforcement regarding claims, insureds, and/or vendors.
• Evaluate all detailed facts regarding any submitted claim that includes liability, subrogation, or SIU; recognize the actual amount of overall damages and subrogation recovery and address any potential fraud on the scene.
• Maintain contact with initial witnesses and parties to provide information on liability, claim value, explanation of benefits, and coordination of claims resolution.
• Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations post-evaluations.
• Maintain statistical reporting data and develop anti-fraud plans in accordance with state regulations; develop and conduct programs and training sessions in fraud awareness and detection. May develop and/or train other claim employees in the area of expertise.
• Perform other duties as instructed or required to complete the job successfully, including special projects and/or work-load surges due to weather-related events that may require hours beyond core business hours.

Qualifications

• Minimum seven years related, applicable experience. Progressive experience processing claims preferred.
• Bachelor’s degree (B.A. or B.S.) from a four-year college or university
• Or equivalent combination of education and experience.
• Adjusters License for states in which the Company conducts business.
• Fluency in Spanish preferred.

Email: Robyn Murphy rmurphy@wellingtoninsgroup.com
Posting:  https://careers-wellingtoninsgroup.icims.com/jobs/1078/senior-special-investigator/job
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