Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.
Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.
About the role
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Under limited supervision of the Supervisor or SIU Manager, the SIU Specialist performs the essential functions of the position, which includes but is not limited to:
What you'll do
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Assist the claims department by performing tasks such as:
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Social media investigations.
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ISO and TransUnion database searches.
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Vehicle locator searches
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Vehicle history reports
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Obtain phone records.
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Credit checks
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Background checks.
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Other tasks as needed
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Investigate, evaluate, and resolve automobile claims in a timely and efficient manner;
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Handle all aspects of suspected fraudulent claims. This includes:
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Suspicious vandalism claims
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Suspicious vehicle theft claims.
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Suspicious fire losses.
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Suspicious injury claims.
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Suspicious and suspected fraudulent coverage investigations
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Any other suspicious claims.
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Submit eFD-1 reports to the CA DOI Fraud Bureau.
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Document investigations, evaluations, recommendations, and plans of action;
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Ensure ongoing adjudication of claims within company standards, industry best practices, and all state and federal regulations;
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Comply with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follow Aspire General Insurance Company/partner's policies, procedures and work rules;
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Produce grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation;
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Regular and predictable punctuality and attendance
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Attend fraud-related presentations/seminars/meetings and inform the company management of important information learned at these events. Give SIU presentations to company personnel.
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Maintain a spreadsheet of persons and entities who have NICB Alerts pertaining to them.
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Conduct periodic checks of the inventory of claims for suspicious activity or suspicious persons or organizations.
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When necessary, work with District Attorneys, law enforcement, Dept of Insurance, and NICB personnel in the investigation of suspicious claims.
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On occasion, conduct field investigation assignments.
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Serve as a resource for the claims department to utilize for assisting with their investigations.
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Other duties as necessary.
Qualifications
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Three or more years of experience in the Property and Casualty insurance industry handling automobile claims;
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Must have a clear understanding of insurance industry practices, standards, and terminology;
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Experience handling both auto property damage and injury claims is recommended;
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Must be able to pass a background check;
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Must have a disciplined approach to all job-related activities;
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Must have a solid foundation of personal organization, sound decision-making and analytical skills, and strong interpersonal and customer service skills;
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Ability to work in a fast-paced environment while managing multiple priorities simultaneously;
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Ability to achieve targeted performance goals.