• Investigating and analyzing moderately complex, single-discipline coverage and claims referred to the Special Investigation Unit (SIU) • Conducting detailed investigations, performing background searches, taking recorded statements, interviewing witnesses, and reviewing social media activity • Evaluating whether fraud can be substantiated and supporting litigation when appropriate • Summarizing documents and maintaining accurate claim files with notes, evaluations, and decisions • Addressing moderately complex customer concerns and inquiries • Reviewing investigation findings to determine if fraud denial is warranted • Conducting thorough investigations, including background checks, and scene inspections • Utilizing analytical tools to identify and validate fraud indicators • Managing vendor relationships and monitoring performance • Making informed decisions on claims and pursuing restitution when necessary • Entering claim data into SIU systems and updating files with investigation outcomes • Returning the file to the market claims office for continued handling and settlement when fraud is not substantiated or evidence is insufficient.