Special Investigations Unit (SIU) Manager - Ethos Risk Services

ABOUT US:

Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.

JOB SUMMARY:

Our dynamic Ethos team is seeking a full-time/remoteSpecial Investigations Unit (SIU) Manager to conduct investigations in the personal lines areas: property and casualty insurance claims. This role is critical in developing and executing investigative action plans, communicating with pertinent claims handling partners, and providing accurate and informed recommendations. The ideal candidate will have a proven track record in claims investigations (personal lines auto, and property), excellent communication skills, and the ability to collaborate with a high-performing team.

RESPONSIBILITIES:

• Responsible for analyzing claim information and developing an action plan.
• Recognize compensability issues, misrepresentation, and understanding insurance coverage as it pertains to claim decisions.
• Conduct investigative actions including recorded statements and interviews in addition to obtaining relevant and substantiating documents.
• Coordinates and briefs relevant parties on files and investigative analysis.
• Handle client communications, including managing distressed or unsatisfied clients.
• Collaborate with senior management to establish and implement new protocols.
• Work with other departments, including sales and operations, for strategic planning of assignments.

QUALIFICATIONS:

Education: Associate's or Bachelor's degree in Criminal Justice, Legal Studies or related field (preferred)

Experience:

• Required: 2+ years of experience managing claims investigations, including auto-liability, property casualty, liability, disability, and worker's compensation files.
• Preferred: 2+ years of experience within an insurance carrier or third-party administrator's SIU department.

Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.