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Inside Special Investigator

Employer
Gainsco Auto Insurance
Location
75216, Dallas
Salary
Not Specified
Closing date
Feb 21, 2019

View more

Category
Claims
Job Type
Full Time
Career Level
Experienced (Non-Manager)

Job Details

GAINSCO Auto Insurance markets non-standard private passenger automobile products through retail agencies, in Texas, New Mexico, Arizona, Oklahoma, Florida, Georgia, South Carolina, Tennessee, Utah, and Virginia. GAINSCO Auto Insurance has fully integrated insurance capabilities, including marketing, underwriting, customer service and claims handling. Our operations are bilingual (English/Spanish).

GAINSCO is seeking an investigator to support the Claims and SIU Teams by acting as an Inside SIU investigator. The selected candidate will investigate all aspects of insurance fraud by conducting extensive public records reviews, interviews, Examinations Under Oath, scene photo investigations, vehicle photo examinations and completing in-depth database inquiries. Strong analytical skills as well as excellent communication and writing skills are required for this position. Accurate claim investigations, using Special Investigation Unit Standard Operating Procedures are the goal of inside SIU Investigator. The inside investigator may conduct complex, multi-claim and/or multi-jurisdiction investigations. The selected candidate will act as the company liaison with law enforcement in all jurisdictions in which GAINSCO operates. The inside investigator will be expected to assist in the development and delivery of approved SIU Training for the claim department.

Job Purpose: To complete quality, timely, and comprehensive investigations through effective training and adherence to SIU Standard Operating Procedures. To deliver SIU Training to peers and the claims department.

Essential Job Results:

% of Time

Results Expected and Duties Performed

80%

Investigate individual claims as assigned in any needed geographic territory, accepting approximately 25-30 new referrals per month.

Document investigations and keep proper parties informed as to progress and findings. Record all referred cases upon receipt into SIU databases including all related expenses and settlement amounts once consensus is reached. Notify federal/state/local agencies as required to meet compliance needs.

15%

Develop and deliver training in the field for SIU investigators. Work closely with SIU Team Leaders to tailor training to the needs of the individual investigator. Develop and deliver training in the office setting for claims adjusters, as needed, working with GAINSCO Claims University and SIU Leadership.

5%

Work closely with law enforcement and local prosecutors while maintaining proper lines of communication even though investigations may be parallel to ensure privacy and constitutional rights are not violated. Obtain and manage pretext policies in coordination with law enforcement.

Required behaviors for all positions:

  • Communicate with co-workers, management customers, vendors, and others in a courteous and professional manner
  • Conform with and abide by all Company codes, regulations, policies, values, work procedures and instructions
  • Adherence to company attendance policy
  • Occasional overnight travel is required

Qualifications:

  • Education: Bachelors Degree Preferred
  • Experience: 3-5 years of auto claims experience with exemplary investigative skills
  • Skills and Abilities: Ability to work with individuals at all levels of the organization, including Sr. Management; excellent interpersonal skills; excellent verbal and written communication skills; ability to work well in a collaborative, team oriented environment; excellent organizational and time management skills; excellent presentation skills and prior experience in making presentations to executive management. Exemplary investigative skills. Knowledge of compliance requirements in the states in which GAINSCO operates and the ability to liaison with various State Insurance Fraud Departments.
  • Other: Bilingual (English/Spanish) beneficial

Office Equipment and Software: Computer, DocuSign, MS windows suite, , Adobe. Knowledge of public records databases and searches as well as NICB. Understanding of privacy requirements related to public search records.

Compensation: Competitive salary commensurate with experience. Excellent benefits package: medical, dental, vision insurance, life insurance, short term and long term disability insurance, 401K, Paid Vacation and Holidays.

GAINSCO is an Equal Employment Opportunity Employer

Company

Want to join the GAINSCO team?

GAINSCO’s fast growth as a company has reflected the outstanding success of our insurance products and our leadership in the marketplace translating into an exceptional opportunity for your career.

We offer a competitive salary and excellent benefits package. Our regional offices and employment opportunities are located in Dallas and Miami. Field and sales positions may also exist in other cities and states.

GAINSCO Auto Insurance® is a Dallas, Texas-based property and casualty insurance company concentrating on the non-standard personal auto insurance market, specializing in minimum-limits personal auto insurance. GAINSCO Auto Insurance is an expansionary company, selling its insurance policies in 17 states through independent agents as well as directly to customers via digital channels. Our insurance operations are conducted through MGA Insurance Company, Inc.  GAINSCO, Inc. was established in 1978 and has a regional office in Miami, Florida.  In December 2020, State Farm Mutual Automobile Insurance Company acquired GAINSCO, Inc. and its subsidiaries.

OUR MISSION

At GAINSCO, we seek to help those who need our assistance by providing essential automobile coverage protections, quality customer services, and exceptional claims responses that fulfill our promise to customers.

Company info
Website
Telephone
800-699-1561
Location
3333 Lee Parkway Suite 1200
Dallas
Texas
75219
US

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