EIG Services Inc

Role Description The successful candidate will become a key member of a small, highly-functioning, public insurance company tax department. The position is involved in many aspects of compliance and accounting for assessments, premium tax, and income tax in a deadline-sensitive environment. - Prepare periodic premium tax and assessment filings, often supported by complex calculations and formulas in Excel. - Gather, analyze, and synthesize data from diverse systems. - Organize and reference schedules and workpapers underlying filings and payments. - Maintain an individual calendar and organize assignments to meet frequent deadlines. - Perform complex general ledger entries and reconciliations for premium tax and assessments. - Assist in the preparation of federal, state, and local income tax compliance. - Assist in the preparation of quarterly and annual income tax provisions (GAAP and STAT), account reconciliations, deferred tax analyses, annual return-to-provision adjustments, and intercompany settlements. - Locate, interpret, and apply state regulations and instructions independently. - Learn, apply, and continuously improve Tax Department methods and procedures. Qualifications - 2-4 years of experience in public accounting, corporate tax, or a combination. - Experience in public company ASC 740 income tax provisions. - Experience working for a publicly traded company (NYSE and/or NASDAQ). - Proficient with Microsoft Office products, particularly Excel. - Experience with general ledger software. - Learns quickly when facing new situations. - Embraces new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm. - Makes sense of complex and sometimes contradictory information to effectively solve problems. - Consistently achieves results, even under tough circumstances and tight deadlines. - Readily tackles tough assignments with organization and attention to detail. - Works collaboratively with others to meet shared objectives. Requirements - Bachelor’s degree in Accounting. - Master’s degree in Tax highly desirable. Work Environment - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - Requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary. Salary Range $60,000 - $90,200 and a comprehensive benefits package, please follow the link to our benefits page for details! Benefits About EMPLOYERS: As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! - We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! - Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. - EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. - We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. - At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. - As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career.

Role Description Responsible for underwriting new and renewal Workers’ Compensation accounts for agents and producers assigned within their territory in compliance with company work comp underwriting, pricing and letters of authority. - Underwrite and retain new and renewal work comp business through solid risk analysis, pricing with adherence to state filings, corporate guidelines, and delegated authority. - Compile and document work comp underwriting decisions and make referrals to management when appropriate including rational and recommendations. - Maintain strong product line and industry expertise while gathering/sharing competitive information along with changes/trends in the local and national markets. - Collaborate with Sales Team to develop and maintain strong agency relationships with shared accountability in meeting territory goals. - Keep leadership, peers and sales team informed of all issues and meaningful activities. - Work with minimal supervision and meet commitments/deadlines. - Act with a customer-first mindset and a sense of urgency. - Collaborate and contribute in tactical and strategic business planning with Sales and distribution partners. - Provide thorough and pertinent information and guidance to Underwriting Services staff required to process coverage requests in accordance with service guidelines and standards/SLA’s. - Provide professional, timely and courteous communication and service to internal and external customers to resolve issues. - Focus on exceptional customer service, collaboration with Sales team, and the development of strong agency relationships. - Quickly and effectively make underwriting decisions based on review and analysis of submission, account characteristics in accordance with company underwriting and pricing guidelines. - Demonstrates a high level of responsiveness and focus on supporting Policyholder and Agents objectives. - Establishes, develops, and maintains successful relationships with Policyholders and Agents. - Develops strong personal brand to build and maintain a long-term quality pipeline with Agents. Qualifications - Minimum 3 years of experience underwriting workers' compensation policies. - Commercial lines underwriting experience required. - Must have P&C agent license or committed to acquiring it within the first 90 days of employment. - Ability to read and interpret documents such as instructions and procedure manuals. - Ability to write routine reports and correspondence. - Ability to calculate figures and amounts such as discounts, interest, commissions, pro-rata portion, frequency, loss ratio, net rate, and percentages. - Ability to apply problem solving skills involving variable and standard situations. - Excellent communication skills including written, verbal, telephone, and virtual meetings. - Excellent organizational and time management skills. - Excellent negotiation skills. - Demonstrated proficiency with Microsoft Office Product Suite. Requirements - Bachelor’s degree or equivalent experience. Benefits - Salary Range: $60,000 - $84,000 and a comprehensive benefits package. Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! - We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business. - Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. - EMPLOYERS is known for the quality service and expertise we provide for our clients, and the exemplary work environment we provide for our employees. - We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. - At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement.

Role Description The Senior Business and Systems Analyst supports EMPLOYERS’ financial systems and corporate project portfolio within the Financial Operations team. This role combines functional business analysis with financial systems support, serving as a key resource across a broad range of projects and run-the-business activities. - Support Oracle ERP enhancements and quarterly update cycles including requirements gathering, design analysis, configuration review, testing coordination, and change management. - Partner with Finance and business stakeholders to identify, design, and deliver improvements to the financial close cycle, reporting, and operational workflows, leveraging automation and data integration where applicable. - Support the design and delivery of financial reporting and analysis solutions that serve Finance and Accounting, cross-department business partners, and leadership audiences. - Provide systems and analytical support for corporate initiatives involving organizational change, including data migration, process redesign, and system configuration changes. - Assist with audit readiness, detailed SOPs and supporting documentation, and compliance-driven system or process changes, partnering with Finance, Accounting, and Internal Audit as needed. - Gather, analyze, and document business requirements related to Finance and Accounting processes and procedures. - Translate business needs into functional and technical specifications, working with IT and implementation partners to deliver solutions. - Partner with Finance and Accounting teams to enhance close and planning cycles, analytics, and reporting. - Support UAT, data validation, training, and user adoption strategies. - Drive change management and user adoption for system and process changes. - Collaborate with stakeholders to ensure alignment of systems with enterprise goals. - Support continuous improvements in accounting and financial processes leveraging automation, data integration, and analytics. - Act as power user and developing administrator for Oracle Cloud ERP Fusion; serving as a capable backup to the Financial Systems Manager. - Assist with Oracle ERP system configuration, access management, and operational support tasks as directed. - Coordinate with IT counterparts and 3rd party partners on Oracle ERP/Fusion system updates, including quarterly system updates. - Troubleshoot Oracle ERP/Fusion issues as they arise and coordinate escalation to the managed services team as needed. - Manage the FinOps Jira service desk — intake triage, ticket routing, prioritization, and resolution tracking. Qualifications - Working knowledge or demonstrated aptitude; administration experience a plus. - Strong understanding of accounting and/or financial processes — FP&A, financial close, budgeting/forecasting. - Business requirements gathering, functional design, and solution testing. - Strong organizational and documentation skills. - Understanding of data integration between systems. - Financial reporting and dashboarding. - Excellent communication, stakeholder engagement, and change management. - Project support and execution across concurrent initiatives. - Jira service desk administration and work management. Requirements - Oracle Cloud ERP, or other similar products. - Excel (Smart View), Macros. - Jira (service desk and project board administration). - Microsoft 365 (Word, PowerPoint, Teams). Preferred Qualifications - Bachelor’s degree in Finance, Accounting, Information Systems, or related field. - 5+ years of experience in accounting, financial operations, or financial systems analysis, including exposure to ERP systems in a power user or project capacity. - Experience supporting or participating in cross-functional corporate projects or system implementations. - Insurance industry experience a plus. - Oracle Cloud certification a plus (not required). Work Environment - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary. Salary Range $80,000 - $120,000 and a comprehensive benefits package, please follow the link to our benefits page for details! Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! - We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! - Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. - EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. - We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. - At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement.

Role Description The Claims Billing Specialist II is responsible for accurately processing and reconciling a variety of financial transactions, including cash allocations, payments, and adjustments, while ensuring compliance with company policies, contractual agreements, and regulatory standards. The role serves as a point of contact for all escalated billing disputes and moderately complex payment issues, collaborating with internal teams, adjusters, and vendors to achieve timely resolutions. This position also supports process improvements by identifying recurring issues, maintaining thorough documentation and audit trails, and mentoring junior staff to build expertise and consistency within the team. Essential Duties and Responsibilities - Process and reconcile financial transactions, including cash allocations, payments, adjustments, and in-house calculations with accuracy, timeliness, and compliance. - Adhere to company policies, contractual agreements, regulatory standards, and internal controls, ensuring proper documentation, audit trails, and approval workflows. - Research, investigate, and resolve escalated billing disputes, payment discrepancies, and moderately complex financial inquiries, providing clear and timely resolutions. - Collaborate with internal teams, adjusters, vendors, and other stakeholders to ensure the efficient resolution of financial challenges and effective communication of outcomes. - Identify recurring issues and recommend process improvements to support operational efficiency, cost containment, and customer satisfaction. - Provide mentorship and guidance to Specialist I staff, modeling best practices in documentation, compliance, and customer service. - Accurately document all resolution and payment activities in compliance with company policies and regulatory requirements. - Mentor team members and serve as a Subject Matter Expert within the department. - Other duties as assigned. Qualifications - 2–3 years of experience in medical billing, claims, or general accounting (workers’ comp preferred). - Strong knowledge of billing practices, healthcare terminology, and claims systems. - Experience researching, calculating, and processing provider payments. - Exemplary written, verbal, listening, and interpersonal communication skills. - Strong attention to detail with the ability to work independently and minimal supervision, while demonstrating excellent organizational and prioritization skills. - Excellent analytical, problem-solving, and decision-making skills. - Adapt quickly to new technologies and systems as needed. - Equivalent combinations of education and experience may be considered. Requirements - Associate's degree or high school diploma with five years of health, workers' compensation claims, bill review, or finance experience and/or equivalent combination of education and experience. Work Environment - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary. Salary Range $45,000 - $67,000 and a comprehensive benefits package, please follow the link to our benefits page for details! Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! - Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. - EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. - We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. - These are the pillars that support how we do business with our clients as well as how we treat each other! - At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. - As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career.

Role Description Manage a caseload of California WC claims with moderate to complex medical and indemnity exposure, including litigation. - Establish accurate reserves, evaluate compensability, and develop action plans from initial contact through closure. - Coordinate medical treatment, work with defense counsel, and proactively resolve claims within your authority. - Maintain compliance with California statutes, state forms, and company guidelines. Qualifications - California WC claims experience — any level considered (Medical Only through complex indemnity). - Ability to work Pacific hours, Monday–Friday 8am–5pm PDT. - Strong knowledge of California WC law, statutes, and claim procedures. - Self-directed, organized, and comfortable managing a full caseload remotely. - CA adjuster license or ability to obtain within the state-mandated timeframe. - WCCP, AIC, CPCU, or other insurance designation a plus — not required. Requirements - Must be located in the United States and authorized to work without sponsorship. Benefits - $60,000 – $85,000 base salary, plus a comprehensive benefits package that's genuinely competitive. - Real growth path: we promote from within and invest in your licensing and development. - 100% remote — Committed to the remote environment. - Established company with the resources of a national carrier and the focus of a specialist.

Role Description Using claims system automation and capabilities, the Medical Only workers’ compensation Claims Adjuster is responsible for timely and accurate management of a high volume of workers’ compensation claims requiring minor or simple medical treatment and escalating them or moving them efficiently to closure. Candidates with experience in Nevada, Arizona and Colorado are preferred. Essential Duties and Responsibilities - Receives and reviews information related to new work comp insurance claims involving no or minimal lost time from work. - Under direct supervision, may handle a small amount of fast-track indemnity claims that have low exposure or complexity. - Communicates with injured workers, employers, and medical providers to obtain necessary additional information and evaluate claims for exceptions or escalations. - Confirms or determines coverage and compensability as needed within state statutes and claims best practices. - Reviews and responds to mail, emails, telephone calls and faxes from employers, providers, and injured workers within 24 hours. - Takes action to handle communication within established best practices and statutory requirements. - Maintains ongoing professional communications with all internal and external customers. - Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. - Files appropriate state forms, as needed. - Manages or coordinates medical treatment and communicates with providers in a timely manner to continue to move the claim forward. - Reviews medical bills and makes appropriate determinations. - Reviews case facts to identify and report possible fraud or abuse throughout course of claim. - Reviews claims for closure and proactively takes action to guide claims in that direction. Qualifications - Minimum of 1 year general office experience or equivalent combination of education and experience. - Excellent written and oral communication, customer service and telephone skills. - Knowledge of MS Office software and an imaged environment. - Demonstrated ability to understand and adhere to statutes, regulations and company policies and practices. - Demonstrated skills in multi-tasking and prioritizing, adhering to deadlines and completing assignments. - Conducts business at all times with the highest standards of personal, professional and ethical conduct. - Ability to maintain confidentiality. - Claims industry experience preferred. - Working knowledge of medical or insurance terminology preferred. Requirements - High school diploma or equivalent required. - If State certification or license is required, must meet certification within. Work Environment - This role is a remote (work from home) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - May be required to travel to off-site location(s) to attend meetings, as necessary. Salary Range $23.00/hr - $30/hr and a comprehensive benefits package, please follow the link to our benefits page for details! Benefits Page

Role Description This position is responsible for the strategic oversight and operational management of workers' compensation claims within the assigned region. This role is accountable for driving team performance, ensuring service quality, and achieving results aligned with organizational goals. The manager establishes regional objectives, monitors key performance indicators, and ensures consistent, compliant, and timely work comp claims handling across assigned jurisdictions. This position also provides supervisory oversight on complex or high-exposure work comp claims that exceed authority levels, ensuring consistency and alignment with company standards. Collaboration with internal stakeholders and external partners is essential to maintaining regulatory compliance, optimizing claim outcomes, and delivering a high standard of customer service. This role manages workers' compensation claims adjusters across Midwest and Southern/gulf coast jurisdictions; candidates holding an active Florida workers' compensation adjuster license a plus. Qualifications - Minimum of 10 years technical work comp claims experience, 3 of which must have been of supervisory or managerial experience. - Experience in support function oversight. - Must have experience in budget planning and preparation. - Working knowledge of principles and practices of workers compensation administration, and statutes, rules, and regulations regarding workers compensation. - Previous formal presentation experience is required. - Knowledge of insurance operations and methodologies, awareness of industry trends and changes is preferred. - Foundational knowledge of NCCI, WCIRB, and Independent State Bureau with proven application. - Ability to interact professionally with all levels of personnel, both internally and externally. - Demonstrated ability to lead teams, achieve results, and drive performance through others. - Adapt quickly to new technologies and systems as needed. - Excellent analytical, problem-solving, and decision-making skills. - Equivalent combinations of education and experience may be considered. Requirements - Certification: Insurance designation preferred, i.e., ARM, AIC, CPDM or CPCU designations. - Education: Bachelor’s Degree in Business Administration/Management/Finance or a related field preferred or equivalent industry experience. Benefits - Salary Range: $105,000 - $147,000 - Comprehensive benefits package. Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS®! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career.

Role Description The Data Insights Strategist plays a critical, hybrid role within our Data & Analytics team, blending diagnostic analysis, statistical modeling, storytelling, and strategic impact. This role is designed for a curious, technically capable problem-solver who can uncover insights, validate hypotheses, and translate data into business value. The Data Insights Strategist will be instrumental in helping drive measurable outcomes across our investment streams by supporting test-and-learn initiatives, developing ROI models, and delivering strategic analyses that turn complex data into clear, actionable guidance for leaders across the organization. This role requires a blend of analytical rigor, data fluency, and strong communication skills. - Partner across investment streams, product lines, and functional teams to uncover insights that drive business growth, retention, and efficiency. - Lead ROI and value realization analysis for strategic initiatives, pilots, and programs. - Translate data into structured analyses, models, and executive-level narratives that guide decision-making. - Design and evaluate experiments (e.g., A/B tests, pilots) to support data-informed innovation. - Develop forecasting and predictive models using Python, R, or similar tools (basic to intermediate level). - Collaborate with Data Governance and Engineering to elevate data quality and availability for strategic use. - Proactively identify cross-functional trends and surface them through clear, compelling data stories via dashboards, visualizations, and presentations tailored to business and executive audiences. - Contribute to a culture of continuous improvement, insight activation, and decision enablement. - Build and interpret basic to mid-level predictive or statistical models to support key business initiatives. - Use tools such as Python, R, or Posit Workbench to explore and analyze complex datasets. - Collaborate cross-functionally to ensure insights are aligned with strategy and result in real-world action. - Design and analyze experiments to measure the impact of strategic initiatives and process improvements. - Establish measurement frameworks and hypotheses to support continuous improvement and data-driven decisions. - Work closely with BI, data science, and business partners to ensure alignment and consistency in data use. - Translate complex analytical concepts into practical applications for broader business teams. - Champion data-driven thinking to prioritize efforts that yield the highest return on investment. Qualifications - 5+ years in data analytics, business analysis, or a related field. - Insurance industry experience preferred. - Strong analytical and storytelling skills with demonstrated experience influencing decisions. - Solid understanding of statistical methods and experimentation (e.g., A/B testing). - Proficiency in SQL, R, and Python, data visualization tools (e.g., QuickSight, Tableau, Power BI), and analytical techniques. - Experience working with integrated development environments (IDE), such as Databricks preferred. - Comfortable drawing conclusions and making decisions with incomplete or ambiguous information. - Experience combining internal and external data for in-depth industry analyses. - Strong communication skills with the ability to simplify complex topics and influence cross-functional stakeholders. - Must have excellent organization and time management skills. - Ability to learn on the fly and grasp new concepts quickly. - Expert Microsoft Office skills. Requirements - Remote: This role is a remote (work from home (WFH)) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary. Benefits - Salary Range: $90,000 - $130,000 and a comprehensive benefits package. Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career.

Role Description The Fraud Analyst works in support of the EMPLOYERS' Special Investigations program goal to both protect EMPLOYERS against the adverse financial impact of workers' compensation fraud and to ensure compliance with federal, state, and local anti-fraud statutory/regulatory mandates. The Fraud Analyst provides essential administrative and analytical support to the SIU team by performing data research, maintaining investigation records, preparing reports, and identifying patterns or anomalies in claims data that may indicate fraudulent activity. - Provides administrative and operational support to the SIU team, including maintaining case files, tracking deadlines, and coordinating case-related documentation. - Conducts basic data research and analysis using internal systems, industry databases, and public records to support active investigations. - Completes social media, industry-related database, and other public information searches as directed by SIU Leadership. - Assists in the identification of potential fraud red flags by reviewing claims data and flagging anomalies for investigator review. - Collects, organizes, and maintains investigation-related records, evidence logs, and supporting documentation. - Prepares written summaries, data reports, and analytical findings for use by SIU investigators and management. - Identifies and utilizes the most cost-effective database and research tools available. - Complies with local, state, and federal regulations involved with accessing, retrieval, and storage of public and database-available information. - Adopts new processes, technologies, and workflow changes with a positive and proactive mindset. - Continuously monitors own workload quality, seeking clarification or training when necessary to improve outcomes and consistency. - Exercises due diligence at all times to protect EMPLOYERS against any unnecessary risks associated with the investigatory process. - Assists with the preparation of periodic and ad-hoc production reports for SIU management. - Participates in SIU associations, seminars, and training opportunities to maintain current knowledge of fraud trends and investigative tools. - Other duties may be assigned. Qualifications - Associate’s degree or equivalent combination of training/experience preferred. - Minimum of 1 year of combined experience from any of the following areas: - Workers’ Compensation Insurance fraud investigations - Governmental insurance oversight - Property and Casualty Claims - Property and Casualty Premium Audit - Law enforcement - Loss Control - Knowledge of Workers’ Compensation claims processes and regulations preferred. - Possess strong analytical, tracking, and monitoring skills with attention to detail. - Ability to effectively communicate in a collaborative environment, using various technology tools. - Possess strong oral and written communication, listening, interpersonal, customer service, and telephone skills. - Must be self-motivated with the ability to work independently and within a team environment. - Possess the ability to multi-task, identify the importance of each task and issue, adhere to deadlines, and complete assignments accordingly. - Excellent problem-solving and decision-making skills and the ability to remain professional in all situations. - Ability to maintain confidentiality. - Computer skills (MS Office, Internet searches, industry database familiarity, etc.). - Valid state driver’s license and good driving record. Requirements - Remote: This role is a remote (work from home (WFH) opportunity) and only open to candidates currently located in the United States and able to work without sponsorship. - It requires a suitable space that provides a private and quiet workplace. - Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. - Travel: May be required to travel to off-site location(s) to attend meetings, as necessary. Benefits - Hourly Pay Range: $23.00 - $32.00 per hour. - A comprehensive benefits package, please follow the link to our benefits page for details!

Role Description The SIU Investigator works in support of the EMPLOYERS’ Special Investigation Program goal to both protect EMPLOYERS against the adverse financial impact of workers’ compensation fraud and to ensure compliance with federal, state, and local anti-fraud statutory/regulatory mandates. The SIU Investigator conducts suspected insurance fraud investigations as related to claimants, policyholders, agents and/or providers who are suspected of having committed workers’ compensation fraud against EMPLOYERS, its member companies and its policyholders. - Reviews and evaluates incoming referrals of suspected workers’ compensation fraud for potential submission to appropriate law enforcement/prosecutorial agencies for criminal investigation and prosecution. - Provides support to cross-departmental personnel in evaluating and identifying red flags and provides recommendations and guidance. - Coordinates with internal staff, vendor attorneys and investigative vendors on specific investigative steps to follow upon receipt of investigative findings. - Collects, reviews, analyzes, evaluates, and organizes related/associated evidence, including medical records, depositions, witness statements, computer records, financial records, business records, related investigative reports, subrosa video, police reports, etc. - Identifies, locates, and interviews potential witnesses, assessing their credibility for use as witnesses in court proceedings for criminal, civil and administrative actions. - Accesses electronic databases to obtain public/industry information to assist in the development of evidence in Workers’ Compensation fraud cases. - Prepares detailed, written investigation reports to include an investigative synopsis; as applicable, a list of applicable statutes violated, a list (and copies) of all evidence items gathered during the investigation process and a list of all witnesses, their contact information and a description of the elements of the case to which they can testify. - Adopts new processes, technologies, and workflow changes with a positive and proactive mindset, serving as an early adopter who helps identify potential challenges and communicates frontline feedback. - Continuously monitors own workload quality, seeking clarification or training when necessary to improve outcomes and consistency. - Submits suspected fraud referrals to the appropriate state/local law enforcement/prosecutorial agencies pursuant to state specific statutory guidelines/requirements, utilizing the specific required state-mandated format. - Provides follow-up support as required after submitting a case of suspected Workers’ Compensation fraud to the appropriate state/local law enforcement/prosecutorial agencies (follow-up investigation, witness coordination, etc.). - Testifies in court as required. - Travels on short notice to various local or out of state destinations to perform investigative duties, appear in court, meet with law enforcement/prosecutorial personnel, or to provide or obtain training. - Assists Claims personnel in their administrative efforts based on relevant findings of an SIU investigation. - Participates in anti-fraud training to EMPLOYERS’ personnel, policyholders, producers, network medical providers and defense legal counsel. - Assists law enforcement and prosecutorial agencies in their anti-fraud efforts, including participation in law enforcement taskforces and advisory groups. - Exercises due diligence at all times to protect EMPLOYERS against any unnecessary risks associated with the investigatory process. - Assists in maximizing media interest in the positive aspects of the EMPLOYERS’ anti-fraud program in support of the EMPLOYERS Sales and Marketing efforts. - Other duties may be assigned. Qualifications - Minimum of 2-3 years of combined experience from any of the following areas: - Workers’ Compensation Insurance fraud investigations - Governmental insurance oversight - Property and Casualty Claims - Property and Casualty Premium Audit - Law enforcement - Loss Control - Knowledge of Workers’ Compensation claims processes and regulations, with CA Workers’ Compensation knowledge preferred. - Valid state driver’s license and good driving record. - Working knowledge of federal, state and local statutes, ordinances, regulations and case law pertaining to insurance fraud (preferably Workers’ Compensation insurance fraud) and of the criminal justice judicial system. - Superior oral and written communication, listening, interpersonal, customer service and telephone skills. - Must be self-motivated with the ability to work independently with minimal direction and possess the abilities and skills to multi-task, to determine the relative importance of each task and issue, to adhere to deadlines, and to complete assignments accordingly. - Excellent analytical, problem solving and decision-making skills and the ability to deal professionally with people in stressful situations. - Ability to maintain confidentiality. - Computer skills (MS Office, Internet searches, Industry database familiarity, etc.) Requirements - Bachelor's degree or equivalent combination of training/experience required. Benefits - Salary Range: $60,000 - $90,000 - Comprehensive benefits package. Company Description As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! - We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! - Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. - EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. - We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. - At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement.