Job Description
Job Description Citizens is pleased to offer this opportunity on a remote / virtual basis; however, the selected candidate must live in the state of Florida (specifically in Miami-Dade County). Visa sponsorship is NOT being offered for this position at this time. ABOUT our Special Investigations Unit (SIU): Financial responsibilities drive Citizens' Special Investigations Unit's (SIU) commitment to finding ways to more quickly identify and more effectively fight insurance fraud. In order to do this, Citizens' SIU is committed to building the strongest, most innovative and most talented investigative and analytical teams. This requires that we recruit high achievers who thrive in an environment that emphasizes individuality, respect, growth, and ownership, and where the best ideas-even if new or untried-are the ones that make it to the top. As a part of the Citizens' SIU team, you will be recognized and rewarded for your talents and outstanding performance, dedication, and loyalty.
We are now seeking an ENTRY-LEVEL candidate to serve as a field investigator within our Agency & Underwriting Investigative Team in MIAMI- DADE COUNTY whose primary focus is conducting investigations that occur at the point of sale during the insurance lifecycle and often involve misrepresentations made concerning the eligibility or cost of obtaining property insurance. The ideal entry level candidate has direct education and/or transferable experience and an ability to work autonomously carrying out investigations and reporting findings. Investigative staff are provided with the necessary equipment for their home-based office and paid mileage for the business use of their personal automobile. POSITION SUMMARY: The position's primary purpose is to conduct low to moderately complex investigations involving suspicions of insurance fraud related to the submission of property claims and/or insurance policies within Citizens' insurance organization.
ESSENTIAL FUNCTIONS OF THE JOB :
- Model ethical behavior and executes job responsibilities in accordance with Citizen's core values, ethics, and information protection policies.
- Plans, prioritizes, and carries out investigative assignments and conducts and/or coordinates interviews, property inspections, and Examinations Under Oath (EUO) and other fact gathering methods as appropriate for the purpose of obtaining material evidence.
- Perform fact pattern analysis and completes all aspects of case management tracking, including preparation of case file notes reports, graphs, table, and documentation management in support of investigative findings.
- Reviews claims and/or underwriting user and system generated SIU referrals and other internal reports as assigned and in accordance with Citizens' SIU policy and conducts basic forensic research to determine the need for additional fact gathering and record collection prior to assignment by management.
- Prepares and refers claims and other matters involving suspicious insurance acts to the fraud bureau or other law enforcement/regulatory entity in accordance with Citizens' policy and Florida statutes; responds to law enforcement file/information requests and represents Citizens at SIU industry meetings facilitated by law enforcement and NICB.
- Participates in the creation and delivery of fraud awareness training to Citizens' employees, business partners and other stakeholders as necessary to facilitate the identification and referral of potentially fraudulent insurance acts to SIU.
KNOWLEDGE, SKILLS AND ABILITIES: - Basic knowledge of insurance principles.
- Demonstrated working knowledge of investigative methods to evaluate and apply laws, rules, regulations, and policies.
- Knowledgeable of the high degree of integrity and confidentiality required handling information that is considered personal and confidential.
- Ability to make administrative and procedural decisions and judgments on sensitive, confidential issues.
- Ability to communicate effectively verbally and in writing with a wide range of staff and management.
- Ability to balance multiple priorities and meet deadlines in a fast-paced and changing environment.
- Analytical, problem solving and organizational skills.
- Proficiency with Microsoft Office systems including Outlook, Excel, PowerPoint, and Word.
- Ability to work independently and as part of a team.
REQUIRED EDUCATION AND EXPERIENCE: - High School Diploma/GED
- Associate's/Technical degree OR two (2) years of relevant experience OR a combination of education and relevant experience equivalent to two (2) years of college
AND - 1 or more years of experience directly related to the duties and responsibilities specified or experience such as an Investigator, Auditory, Analyst, Research Assistant of support role in Investigative/police unit.
PREFERRED QUALIFICATIONS: - Bachelor's degree in criminology, criminal justice, insurance/risk services.
- Prior professional experience in an audit or investigative environment.
- Three (3) or more years of experience directly related to the duties and responsibilities specified or experience such as an Investigator, Auditor, Analyst, Research Assistant, or support role in Investigative/police.
- Knowledge of investigative procedures and investigative analysis procedures.
- Intermediate to advanced proficiency with Microsoft Office systems including Access, Excel, PowerPoint, and Word.
PHYSICAL REQUIREMENTS: Ability to sit for long periods of time, listen and converse over the telephone, and key frequently on a computer for long periods of time (4 or more hours per day). Position also requires the ability to be mobile, operate a motor vehicle, inspect physical damage and work in a highly energetic and flexible work environment. Position also requires ability to travel overnight on a limited basis.
This position is remote / virtual eligible - Selected candidates must live in the state of Florida (specifically in Miami-Dade County).
Visa sponsorship is not available for this position.
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About Us Searching for a place to make your mark? Every great team depends on the individual contributions of its members - the skills, talents, and the passion that each team member brings. At Citizens, we're building a workforce of top achievers committed to our company's mission and vision. Our company values the knowledge that comes from experienced and dedicated individuals with a variety of backgrounds, in or out of insurance.
Citizens' mission is to serve the people of Florida as the state's insurer of last resort, and as an innovative thought leader focused on promoting a healthy property insurance market. We stand proudly by our values of being Committed, Accountable, Responsive and Empowered.
At Citizens, we are a team of dedicated, service-minded professionals committed to our policyholders. Come achieve and maximize your potential with us!
About the Team We offer unlimited career potential, excellent training and development opportunities, and a structured Career Development program to explore future roles of interest while growing and developing in your existing role.
Citizens offers a competitive compensation and benefits package that includes comprehensive medical/dental, Retirement Savings Plan, Vacation and Sick Time, EAP, Tuition Reimbursement, Community Service and much more!
•Retirement savings plan with a generous company match
•Medical, dental and vision coverage
•Company Paid employee basic life insurance and short-term disability.
•Generous paid time off: vacation, sick and holiday leave
•Employee Assistance and Wellness Programs
•Tuition reimbursement
•Professional and leadership development opportunities
•Company Paid Parking
•Employee recognition programs
•Relocation assistance (where applicable)
•Community and volunteering opportunities
•Casual dress
Citizens is proud to be an Equal Opportunity Employer. Citizens Property Insurance Corporation
Job Tags
Holiday work, Temporary work, Casual work, Remote job, Work from home, Home office, Relocation package, Flexible hours, Night shift,