Special Investigations Unit (SIU) Investigator

Job Description

Position: As an SIU Investigator, you’ll play a critical role in enforcing the fundamental fairness values on which our company was founded. You’ll be asked to push the boundaries of what’s required and to think critically as to what our customers want and how that best aligns with our product. By collecting information, making recommendations for claims processes to iterate towards automation and further develop our app features, you’ll be helping to build and enhance an entirely new insurance experience from the ground up. This role is vital to Root’s success as we continue to grow rapidly and is largely responsible for our bottom line.

What you'll be doing:

• Accountable for complete investigation of claims suspected of fraud utilizing external partnerships where needed
• Acts as a Liason for the Claims Staff in fraud training, awareness, and investigation
• Proactively reviews files to identify potentially questionable claims
• Engages in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications
• Provides input for continuous development of SIU and Claims best practices
• Interacts and communicates effectively with customers, peers, vendors, and managers.
• Provides technical claims recommendations in an effort to improve case outcomes
• Recommends potential product developments and process improvements
• Works with leadership developing and maintaining state fraud compliance plans

What we're looking for:

• Must have a minimum of 3 years SIU experience combating insurance/self-insured fraud with a focus on automobile injury and property damage claims
• Prior experience handling medical investigations and provider investigations strongly preferred
• Fraud Claim Law Specialist certification, Certified Fraud Examiner designation, CPCU designation, or other certification relevant to fraud investigation preferred
• Strong understanding and application of laws, statutes, and regulations specific to fraud handling
• Ability to work in partnership with third-party administrators
• High sense of professionalism while remaining empathetic
• Ability to approach problems with an open mind

Who we are. Root Insurance is the nation’s first licensed insurance carrier powered entirely by mobile. We were founded on the belief that the services you need for everyday life should serve you better. That’s why we base insurance coverages on you, not your demographic. It’s the way insurance should be. And it’s all conveniently in an app. What draws people to Root. We’re a venture-backed technology company. Our early success is in large part due to our unwavering standards in hiring. We recognize that our product is only as good as the people building and promoting it. We look for individuals who find solutions by going through the cycle of ideation to implementation with curiosity, rigor, and a highly analytical lens. Ask anyone who works here and you’ll hear similar reasons for why they joined: Autonomy. For assertive self-starters, the opportunities to contribute are limitless. Impact. By challenging the way it’s always been done, we solve problems that have a big impact on our business. Collaboration. We encourage rich discussion and civil debate at every turn. People. We are inspired by the collection of crazy-smart people around us. Apply for this job