Bilingual Data Specialist managing administrative tasks and data loading for group insurance. Collaborating with stakeholders while ensuring timely and accurate systems operations in a hybrid work environment.
About the role
- SIU Field Investigator responsible for investigating Florida PIP fraud in South Florida. Looking for bilingual candidates to manage complex claims and provide guidance on fraud detection.
Responsibilities
- Conduct field-based investigations on suspicious bodily injury and property damage claims, with a strong emphasis on Florida PIP exposure
- Lead and participate in Examinations Under Oath (EUOs), including preparation, documentation, and coordination with legal counsel
- Investigate potential fraud schemes, including staged accidents, medical clinic activity, and organized fraud patterns
- Perform in-person interviews, recorded statements, scene inspections, and neighborhood canvasses as part of active investigations
- Independently manage assigned investigations from referral through resolution, including evidence development and reporting
- Document investigative findings clearly and thoroughly within claim systems and written reports
- Partner with Claims, Legal, and external stakeholders to support claim decisions and litigation as needed
- Identify and report suspicious activity to the Department of Insurance (DOI) in accordance with regulatory requirements
- Provide guidance and training to internal teams on identifying potentially fraudulent claims
- Maintain and leverage relationships with SIU peers, law enforcement, attorneys, and industry contacts
- Stay current on Florida statutes, PIP regulations, and emerging fraud trends within the South Florida market
- Meet individual performance goals and maintain consistent communication with leadership
Requirements
- Bachelor’s degree or equivalent work experience required
- Minimum of 5 years of SIU or investigative experience within a P&C insurance
- Direct experience with Florida PIP claims, bodily injury investigations, and medical clinic investigations required
- Prior experience conducting or supporting EUOs strongly preferred
- Property damage investigative experience is a plus
- Bilingual in English and Spanish or English and Haitian Creole (required)
- Active Florida Adjuster’s License required prior to start date
- Ability to obtain Florida Notary (including Remote Online Notary) within 30 days
- Strong understanding of Florida PIP regulations, fraud indicators, and investigative techniques
- Strong written and verbal communication skills, including report writing and stakeholder communication
- Proficient in claims systems, investigative tools, and general PC applications
- Demonstrated professionalism, sound judgment, and integrity in handling sensitive investigations
- Ability and willingness to travel regularly throughout Miami-Dade and Broward County
Benefits
- Health insurance
- Flexible work arrangements
- Professional development opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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