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P&C insurance claims in compliance Specialist at San Antonio, Texas, USA
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Sanjay,

K&K Global Talent and Solutions Inc

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Job Title: P&C insurance claims in compliance Specialist

Location: San Antonio, TX / onsite

Role Description:

Special Investigation Unit Specialist, SIU Specialist

- Investigate questionable or suspect P&C insurance claims in compliance with state laws and regulations

- Develop fraud prevention strategies and maintain external relationships with industry contacts

- Experience with use of internal fraud controls and data capture to track referral and acceptance criteria in compliance with said controls, as well as track and capture SIU investigation outcomes

- Prepare detailed investigative reports and make recommendations within defined guidelines and authority

- Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled

Competencies: Claims Management Property and Casualty, Personal Lines-Property and Casualty

Essential Skills:

- High School Diploma or General Equivalency Diploma- 2 years claims adjusting experience or P&C SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement or relevant fraud industry investigation experience

- Proven investigatory skills and ability to organize workload effectively

- Familiarity with using computers and various software packages for data analysis

- Knowledge of city, state, and local regulations, legal concepts, and medical terminology

Desirable Skills:

- P&C experience including Auto, Property, and Underwriting- SIU, Fraud Investigations, Military, or Law Enforcement experience

- Related professional designations (e.g. CIFI, CFE, CPCU, etc.)- Ability to work across multiple time zones

Keywords: cprogramm Texas
P&C insurance claims in compliance Specialist
[email protected]
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Wed Apr 03 01:04:00 UTC 2024

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Location: San Antonio, Texas