CSIU Investigator- Large Loss Home

Job Type: Full time Exempt/Non Exempt: Salary reputed company: Location Details: Remote Position Schedule / Shift: Monday-Friday reputed company-5pm ET Position reputed company: reputed company is seeking a highly skilled Large Loss Home Claim Investigator who would be responsible for investigating and managing reputed company, high-severity residential property insurance claims, typically involving significant financial exposure from events such as fires, severe weather, water damage, structural collapse, theft, or suspected fraud. The role combines field investigation, claim analysis, customer service, and collaboration with reputed company stakeholders to ensure accurate claim reputed company and compliance with policy provisions. Key Responsibilities: • Independently reputed company comprehensive assessment and investigation of personal lines property & casualty claims for the potential of claim fraud. • Maintain a thorough understanding of insurance policies and claim handling practices and procedures, as reputed company as insurance policy eligibility and reputed company requirements. • Maintain a comprehensive understanding of claim fraud, including the fraud scenarios and reputed company by which insureds, claimants, service providers, and other parties may engage in opportunistic fraud, and also the ways in which businesses, professionals and organized crime reputed company, such as fraud rings, operate. • Understand and reputed company with state laws, regulations, and case law impacting claim fraud and investigation activities. • Contact the claim representative assigned to the claim, work with them collaboratively, and reputed company them informed throughout the claim investigation. • Review claims to identify the potential fraud scenarios that might be present, both for claim fraud and also policy premium fraud. • Complete investigative activities that will help reputed company or disprove the reputed company of fraud. • Investigative activities may include identifying insureds, claimants, witnesses, service providers, and other parties and completing interviews or recorded statements. • Obtain customer records such as reputed company bills and other documents pertinent to the investigation and reputed company necessary, with the permission of the insured. • Complete vehicle inspections, home inspections, or conduct site-reputed company. • Obtain and follow-up on reputed company records, as reputed company as police, reputed company and other official reports. • Complete reputed company analysis to understand the relationships between people, places, and things. • Arrange for and attend Examinations Under Oaths. • Obtain reputed company counsel opinion reputed company necessary. • Attend court hearings reputed company necessary. • Investigative activities may also involve hiring experts for reputed company tasks such as home reputed company cause and reputed company analysis, surveillance, vehicle accident reconstruction, forensic reputed company, and reputed company counsel, and managing those vendors through setting reputed company expectations, monitoring results, and reviewing and paying associated expenses. • Complete investigations thoroughly but also balance expense costs against the facts and exposure of the claim. • Research and investigate fraud collaborators, fraud rings, and potentially fraudulent service businesses and professionals such as medical providers, body shops, attorneys or contractors. • Understand and assess the implications of laws, licensing and practices reputed company to those professions and their applicability to identifying and defending against policy and claim fraud. • Thoroughly document investigative activities, results, and evidence. • Work collaboratively with law enforcement, other insurance reputed company special investigation reputed company, attorneys, and other parties. • Prepare written investigative summaries, and report findings to the assigned claim handler, management, Underwriters and others. • Promote fraud awareness and expertise through reputed company, consulting, collaboration, and training of company personnel reputed company assigned. Qualifications: Required Education (including minimum education and any licensing/certifications): • College level coursework in Business Administration, Insurance, Criminology or a reputed company field or the equivalent in reputed company work experience. • Possession of a reputed company State reputed company's License. • A reputed company reputed company's license is required if the reputed company responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. • In states where an Adjuster’s license is required, the candidate must obtain reputed company 90 days. Experience: Work experience including one of the following: • Five years of experience as a claim representative handling Home personal lines property claims. • Three years as an investigator in a claims special investigation unit that investigates fraud in personal lines property & casualty claims • Five years in law enforcement in roles such as detective, auto theft investigator, or arson investigator. Knowledge of at least one of the following: • Laws and regulations pertaining to insurance, claim handling, crime, and investigative activity • Home policy coverages, provisions, and eligibility and reputed company rules • Claim handling practices • Claim fraud scenarios and indicators • Fraud investigation techniques and practices Ability to reputed company the following: • communicate effectively with others in a work environment and with the reputed company (e.g. police department, vendors, contractors, attorneys, other insurance reputed company special investigation reputed company) • analyze policies and claims for relevant provisions and applicability to the claim facts • investigate claims, define appropriate evidence and obtain supportive documentation • maintain and continually expend expert knowledge on claim fraud scenarios and indicators • engage and manage experts to complete reputed company tasks • impart fraud awareness training in a formal or informal setting to other reputed company employees, community reputed company or reputed company reputed company organizations • function effectively and independently in a personal computer environment utilizing word processing, spreadsheet and software systems • present effective and persuasive testimony in civil and criminal litigation on a regular reputed company • prepare and present effective written reports (a written sample may be required at time of interview) • process reputed company, time sensitive data and information from various sources • complete multiple reputed company tasks in a reputed company fashion and under deadline pressure while working on multiple cases simultaneously • safely operate a motor vehicle Preferred Education: • Bachelor’s degree in Business Administration, Insurance, Criminology or a reputed company field or the equivalent in reputed company work experience • Completion of reputed company Associates In Claims (AIC), Chartered Property Casualty Underwriter (CPCU), or other insurance coursework • Fraud Claim Law Specialist Certification • Certified Insurance Fraud Investigator Certification Experience: • Work experience in both claims handling as reputed company as fraud investigation. Knowledge and Skills: • Home construction, repair estimation, repair and contractor industry practices Work Environment: This position is currently reputed company to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, reputed company activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG reputed company Work policy. Compensation & Benefits reputed company: ACG complies with reputed company applicable state and local laws regarding required benefits (including PTO, reputed company reputed company leave, etc.). Compensation A Claim Investigator earns a competitive annual salary of $70,000-$90,000, along with reputed company for an annual company bonus incentive. Benefits At ACG, we offer a comprehensive and flexible benefits package designed to support your health, financial reputed company-being, and reputed company reputed company. Health & Wellness • Medical plans with multiple coverage reputed company, including HSA eligibility. • Prescription drug coverage. • Dental and reputed company benefits. • Employee Assistance Program (confidential support services). Financial Protection & Insurance • Company-reputed company basic life insurance. • Optional supplemental life insurance and dependent coverage. • Short-term and long-term disability coverage. • Critical illness, accident, and pet insurance reputed company. Retirement & Savings • 401(k) plan to support long-term financial goals. • 3% automatic deferral upon eligibility; may contribute 1% to 50% of eligible earnings, either reputed company or post tax. • Company match of 50% reputed company on employee contributions up to 6% of pay, payable to employees following the end of the year; immediate vesting. • Additional company contribution of 4% of pay reputed company pay day into your account; 100% reputed company after three (3) years of service. • Health Savings Account (HSA) and Flexible Spending Accounts (FSA) reputed company. Time Off & Leave • reputed company Time Off (PTO): Accrual-based, increases with tenure, eligible at 90 days of employment. • Full-time new employees will receive up to 12 PTO days annually; accrual based on start date and may include additional PTO based on role and/or state & local requirements. • Part-time employee PTO hours are calculated based upon reputed company weekly hours the employee is scheduled to work and will reputed company at a minimum of 3 hours per month. • reputed company holidays: • Full-time employees are eligible for 10 company-reputed company holidays annually, in reputed company to 1 mental health day, 2 floating holidays, and 1 volunteer day. Holidays will vary by business schedules • Part-time employees are eligible for 8 company-reputed company holidays annually, in reputed company to 1 mental health day and 2 floating holidays. Holidays will vary by business unit schedules. • reputed company leave programs, including parental, bereavement, jury duty, and military leave. Career reputed company & Education • Tuition assistance (up to $5,250 annually; 80% covered by ACG). • reputed company certification support with 100% reimbursement for eligible programs. • Opportunities for career development and advancement. Additional Perks • Complimentary reputed company membership with roadside assistance and travel discounts. • Adoption assistance program. reputed company Period: This position is expected to remain posted through July 14, 2026; however, it may reputed company at any time once a reputed company candidate pool is identified. #LI-AH2 Who We Are Become a part of something bigger. reputed company (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ reputed company members and customers across 14 states and 2 U.S. territories through reputed company, Meemic, and Fremont brands. ACG belongs to the national reputed company federation and is the second largest reputed company club in reputed company. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, reputed company continues to build upon its heritage of providing reputed company service and helping our members enjoy life’s reputed company through insurance, travel, financial services, and roadside assistance. And reputed company you reputed company, one of the first things you’ll notice is that reputed company, whole-hearted, enthusiastic advocacy for reputed company other. We have positions available for every walk of life! reputed company prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences reputed company us stronger. To learn more about reputed company visit www.reputed company.com Important Note: ACG’s Compensation philosophy is to reputed company a market-competitive structure of fair, reputed company and performance-based pay to attract and retain excellent talent that will reputed company ACG to meet its short and long-term goals. ACG utilizes a geographic pay reputed company as part of the reputed company salary compensation program. Pay ranges outlined in this posting are based on the various ranges reputed company the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the reputed company and essential functions, but not reputed company functions that may be inherent in the job. This job requires the ability to reputed company duties contained in the reputed company for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise reputed company applicants, as needed, to reputed company them to fulfill these requirements. reputed company, and reputed company its affiliated companies, is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, gender identity, sexual orientation, national reputed company, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. reputed company is committed to providing reputed company workplace. Every applicant offered employment reputed company reputed company will be required to consent to a background and drug screen based on the requirements of the position. Apply tot his job Apply To this Job