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
- 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
- Assist the claims department by performing tasks such as:
- Social media investigations.
- ISO and TransUnion database searches.
- Vehicle locator searches
- Vehicle history reports
- Obtain phone records.
- Credit checks
- Background checks.
- Other tasks as needed
- Investigate, evaluate, and resolve automobile claims in a timely and efficient manner;
- Handle all aspects of suspected fraudulent claims. This includes:
- Suspicious vandalism claims
- Suspicious vehicle theft claims.
- Suspicious fire losses.
- Suspicious injury claims.
- Suspicious and suspected fraudulent coverage investigations
- Any other suspicious claims.
- Submit eFD-1 reports to the CA DOI Fraud Bureau.
- Document investigations, evaluations, recommendations, and plans of action;
- Ensure ongoing adjudication of claims within company standards, industry best practices, and all state and federal regulations;
- 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;
- Produce grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation;
- Regular and predictable punctuality and attendance
- Attend fraud-related presentations/seminars/meetings and inform the company management of important information learned at these events. Give SIU presentations to company personnel.
- Maintain a spreadsheet of persons and entities who have NICB Alerts pertaining to them.
- Conduct periodic checks of the inventory of claims for suspicious activity or suspicious persons or organizations.
- When necessary, work with District Attorneys, law enforcement, Dept of Insurance, and NICB personnel in the investigation of suspicious claims.
- On occasion, conduct field investigation assignments.
- Serve as a resource for the claims department to utilize for assisting with their investigations.
- Other duties as necessary.
