New Hartford, New York, USA
20 days ago
Special Investigator
The Company

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an AM Best "A" rated $1.5B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including Boston, NYC, Chicago, Atlanta, and Dallas. 

The SIU Analyst is responsible for the recognition of potential fraud within claims and policies (Utica Mutual and Founders). They will use fraud analytics, or outside sources such social media to identify suspected fraudulent submissions.

What you will do

The SIU Analyst impacts cases identified for potential fraud or abuse. Their ability to identify fraudulent or abusive claims and polices allows an SIU Investigator to fully investigate allegations for impact. The SIU impact is compliance driven as well as having a strong financial impact on the overall companies’ performance. The SIU performance has a strong and direct correlation to the ability of the company to not pay out or underwrite potential fraudulent or abusive claims/policies.

Essential Functions:

Conduct comprehensive online research including Internet, social media, public records and government database searches for potential fraudulent or suspicious claims or policies. Collect, document, report and provide recommendations on evidence in support of the overall investigation. In partnership with the SIU team, conduct fraud identification and awareness training. Work with fraud analytics tools as it relates to fraud, waste and abuse including but not limited to Verisk ISO, Decision Net and Lexis. Performs other duties as assigned. Conforms with all corporate policies and procedures.

What you need:

 2-4 years SIU Analytics or Insurance related experience preferred; 2-4 years Strong Knowledge of claims and policy coverages across multiple lines of business preferred; 2-4 years Experience in identifying red flags indicators of fraud within a claim/policy preferred.   Bachelor's Degree preferred.

Salary Range: $63,600-$95,300

The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

Benefits:                              

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits  401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA)  Flexible Spending Accounts  Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs

Additional Information: 

This position is a full time salaried, exempt (non overtime eligible) position. 

Utica National is an Equal Opportunity Employer.

Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.  

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