Capital Insurance Group - CIG

Title: SIU Investigator Location: Phoenix, AZ United States Department:1311 - Claims Operations Job Description: Why CIG? At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career! CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees. Why choose CIGs Claims Team? CIG claims department is here to support our insureds throughout their claims process. We work directly with our agency partners and policyholders to accomplish successful claim resolutions. Join the claims operation and you can be part of a team who provides excellent service, build relationships, and achieves successful outcomes for our clients. Benefits - Accrue twenty-one days of Paid Time Off during your first year - Up to eighty-seven percent of benefits are covered by CIG for you and your family members - Medical, Dental, Vision plans, Telehealth - One hundred percent covered plans - Basic Life & AD&D - Employee Assistance - Leave Management - Long Term Disability - Short Term Disability (Outside of CA) - Employee Benefit Advocacy Hot Line - Family Caregiver Support (Homethrive) - Child Care Resources (Tootris) - Business Travel Accident Protection - Voluntary benefit offerings - Short-term Disability (CA only) - Voluntary Life AD&D self, spouse, and child plans - Flexible Spending (FSA) - Health Savings (HSA) - Hospital Indemnity - Accidental Injury - Pet Insurance - Commuter Benefit - Critical Illness - ARAG Legal Services - Norton LifeLock - Nine paid holidays, plus two floating holidays - Above and Beyond Reward Recognition Program - Kudos & Shout Out Points Program - Quarterly Above and Beyond Bonus Program - Annual Above and Beyond Bonus Program - Competitive compensation - Base compensation - Salary Management Spot Bonuses - Annual Incentive/Profit sharing program, potential payout annually based on company results. - Discount partnerships - Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more - Insurance, educational reimbursement, and bonus programs - Employee Referral Bonus Program - Home and Auto Insurance Discount Program. - Paid Volunteer Time Through company-planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you! - Retirement savings benefit (401k and Roth + match) - Health & Financial Wellness - Wellness platform, tools, and events - Vitality - Health Savings Account match - Financial Wellness Resources Work Environment & Format: This is a hybrid-eligible position, where Monday through Wednesday would be working in one of our offices, with Thursday and Friday eligible for work-from-home days. Office locations include: Monterey (CA), Roseville (CA), Bakersfield (CA), Phoenix (AZ), and Spokane (WA). Job Overview: The SIU Investigator is responsible for investigating suspicious claims, identifying potential fraud, and developing well-documented cases to support claim outcomes and potential prosecution. Provides training and support to claims staff in support of strengthening identification of potential red flags and investigation strategies across the claims organization, to include statement taking, document analysis, and medical record review. Directly involved in statement taking and other investigative activities as warranted. Works with the SIU Manager on annual training, onboarding, and compliance related activities, as needed. Minimum Requirements: - Knowledge of property-casualty coverages, DOI regulations, legal concepts, and comprehension of contracts, case law, medical treatment and medical terminology. - Must be results oriented and capable of conducting various investigations independently. - Must have excellent communications skills to express ideas, interview parties, and be able to work collaboratively with and educate claims staff on investigation strategies. - 5-7 years of insurance or investigative experience. - Experience in handling of litigated claim files as well as mediation/arbitration/trial participation is preferred. - Previous experience in law enforcement or fraud investigation is highly desirable. - Professional designation and certifications (AIC, CPCU, NCFIA, SCFIA, IASIU, etc.) recommended. - Must maintain a valid Driver License and ability to safely operate a vehicle. - Candidates must be authorized to work in the United States without the need for current or future visa sponsorship. Salary Range: $70,293.00 - $117,155.97 The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.

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• Under general supervision, this position will be part of the Claims Legal team, which will provide settlement authority and general strategic support for claims/exposures that exceed the line units authority. • The position encompasses a variety of responsibilities that include the analysis of unique jurisdictional concerns and ensuring consistency in claims positions. • Responsible for consultation with claims staff in a variety of claims issues, including but not limited to, coverage, indemnification, policy limit demand reviews, indemnity agreement review, release language review. • Identifies coverage issues which require assignment to outside counsel and works with outside counsel as needed. • Directly handle some policyholder suits against the company and work with outside counsel in managing the litigation. • Will need to attend mediations as needed. • Assists in training to claims staff on various jurisdictional issues and/or Fair Claims Practices training. • Respond to insurance claims questions from a variety of departments. • Works closely as part of the Claims Legal team in providing outstanding service to claims staff. • Responsible for tracking claim files reported to Claims Legal ability to stay organized, and diary cases for future follow-up. • Participate in roundtable discussions on a variety of claims topics, including trial authority, and taking the lead on future follow-up of action items. • Will work collaboratively with current Panel Counsel to ensure consistency of service to CIG insureds. • May also participate and/or take the lead in identifying new firms to join Panel list. • Work with Analyst in Claims Legal in ensuring consistency of Reinsurance reporting as required. • Ability to analyze complex insurance claims situations and develop recommendations to be shared with claims staff. • Ability to handle conflicting requests from multiple stakeholders in a fast-paced environment while paying attention to detail. • Good communication and interpersonal skills, ability to work independently and in a team setting. • Ability to interface with multiple levels of the organization. • Ability to travel (<10%) as needed to support business needs. • Ability to stay organized and manage time effectively in order to manage competing priorities. • Have effective research skills and ability to stay current with changes in case law and regulatory changes.