Insurance SIU and claims investigation
Special Investigations Unit (SIU) and fraud investigator roles at insurers, health plans and third-party administrators.
What the work is
Insurers' Special Investigations Units look into claims that may be fraudulent: auto, property, workers' compensation, life and health. Investigators review files, interview claimants and witnesses (in person or by phone), take recorded statements, work with surveillance vendors, and refer cases to state fraud bureaus or prosecutors. Health plans have similar "fraud, waste and abuse" teams.
How your LE experience translates
Interviewing, statement taking, report writing, evidence handling and knowing how a case is built for prosecution are exactly what SIU work needs. Investigators and detectives move over directly; many postings say law enforcement experience is preferred.
What employers usually ask for
Postings often ask for investigation experience, strong writing, comfort with claims and case software, and sometimes a state adjuster license or an anti-fraud certification (for example CIFI or CFE, examples employers list). Field roles cover a territory; desk roles are often remote.
Getting started
- Check whether your state requires an adjuster or SIU license, and whether the employer helps you get it.
- Learn the basics of the line of insurance you're applying for (auto, workers' comp, health).
Typical pay
Not enough current listings in this field state pay for us to show a range. We only show pay that employers published.
Open jobs right now (0)
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