Job Description
Univista Insurance is looking for a SIU Investigator to identify and investigate potential fraudulent claims. The role involves conducting thorough investigations, gathering evidence, and collaborating with internal teams to prevent and detect fraud. Responsibilities Investigate suspicious claims for potential fraud, including interviews, surveillance, and evidence collection Analyze claims data to identify patterns and red flags that may indicate fraudulent activity Prepare detailed investigation reports, documenting findings and supporting evidence Present investigative findings to management and regulatory bodies as needed Work closely with claims adjusters, legal teams, and law enforcement to support fraud investigations Assist in developing strategies to prevent fraud and improve claims processes Ensure investigations comply with company policies, industry regulations, and legal requirements Maintain confidentiality of sensitive information related to investigations Skills High School Diploma or G.E.D 6 months of claims handling or investigative experience in any field Bilingual in English and Spanish is required Strong customer service and communication skills Basic proficiency in Microsoft Office Experience in Loss Prevention and Surveillance preferred Active insurance adjuster's license preferred; must obtain and maintain as needed High school diploma or equivalent; bachelor's degree in business, or related field preferred Company Overview UniVista Insurance is an independent, family-owned, and operated franchisor of insurance-related products and services. It was founded in 2006, and is headquartered in Miami, Florida, USA, with a workforce of 201-500 employees. Its website is