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Internal Major Case SIU Investigator - HYBRID

Remote Full-time Live

About the position At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers’ expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That’s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. GEICO has an exciting opportunity to join the SIU team as an Internal Major Medical Case SIU Investigator! As an Internal Major Case SIU Investigator, you will investigate large-scale and highly organized major cases involving large numbers of claims that involve suspected fraud or other suspicious activities against the Company. Responsibilities include analyzing large numbers of claims to identify suspicious patterns, interviewing witnesses and subjects, conducting examinations under oath and conducting background and database inquiries. The ideal candidate will have: 2+ years - current or previous SIU experience or have experience in PIP. Potentially have upper level medical claims handling experience. Possess knowledge of CPT Codes and the ability to interpret medical reports. Candidate must be willing to testify in court and at arbitration hearings when needed. Proficiency in Excel strongly preferred. Location - HYBRID: Lakeland, FL At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life’s twists and turns. Our mission is to protect people when they need it most and we’re constantly evolving to stay ahead of their needs. We’re an iconic brand that thrives on innovation, exceeding our customers’ expectations and enabling our collective success. From day one, you’ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people’s lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career – and your potential – in mind. You’ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Responsibilities

  • analyzing large numbers of claims to identify suspicious patterns
  • interviewing witnesses and subjects
  • conducting examinations under oath
  • conducting background and database inquiries

Requirements

  • 2+ years - current or previous SIU experience or have experience in PIP
  • Candidate must be willing to testify in court and at arbitration hearings when needed

Nice-to-haves

  • Potentially have upper level medical claims handling experience
  • Possess knowledge of CPT Codes and the ability to interpret medical reports
  • Proficiency in Excel strongly preferred

Benefits

  • Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
  • Financial benefits including market-competitive compensation
  • a 401K savings plan vested from day one that offers a 6% match
  • performance and recognition-based incentives
  • tuition assistance
  • Access to additional benefits like mental healthcare as well as fertility and adoption assistance
  • Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

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