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Fraud Investigation (SIU) Analyst

Hippo Insurance

Hippo Insurance

IT, Accounting & Finance
Austin, TX, USA
Posted on Saturday, June 29, 2024

Role: Fraud Investigation (SIU) Analyst

Location: Dallas, TX /Austin, TX /Bedminster, NJ

Reports To: Special Investigations (SIU) Manager

About Hippo:

Our mission is to deliver intuitive and proactive protection for homeowners, combining the power of technology with a human touch.

Hippo built the world’s first home protection platform. We believe that insurance should protect your home and the things you treasure with policies designed for modern lives and proactive protection that helps you care for your home. Our aim is to help you avoid issues before they become costly problems because the best claims experience is the one you don’t have. Simply put, Hippo exists to protect the joy of homeownership.

About This Role:

Hippo is seeking a Fraud or Special Investigation Unit Analyst to handle Investigations and Fraud matters on Hippo claims. This position will work closely with regulatory agencies and internal functions to identify, investigate, and document claims where there is suspected fraudulent activity.

About You:

You are an experienced claims person with a background in investigating various types of claims, including those involving, coverage, fraud and material misrepresentation. You are someone with the demonstrated ability to identify suspicious activity and complete investigations of potential fraud. You are self-motivated, directed, and have a demonstrated ability to collaborate. You have experience partnering with regulatory agencies and internal teams to identify suspicious indications of potential insurance fraud perpetrated by claimants, insured, agents, brokers, and providers. You are a multi-tasker and someone who can identify red flags and what investigative actions needs to be done on files.

What You'll Do:

  • Evaluate claims and transactions to identify suspicious elements to support an SIU investigation.
  • Partner with underwriting, audit, and the claims team to determine the investigative path and document investigative findings.
  • Perform some investigations using digital tools and technology and/or working with outside vendors;
  • Thoroughly document investigation path and findings.
  • Prepare documentation for and partner with state agencies, DOI and National Insurance Crime Bureau.
  • Complete state-specific and other necessary training to be subject matter expert on the latest legislation and court decisions related to insurance fraud and investigative processes and procedures.
  • Provide advice, training, and guidance to claims and other teams on best practices for identifying and reporting potentially fraudulent activity.
  • Provide professional, timely and courteous communication and service to external clients, internal teams and Leadership to successfully resolve issues about SIU and investigative referrals.
  • Partner with law enforcement officials in civil and criminal investigation and prosecution. Assist Defense counsel on cases in litigation due to fraud.
  • Assist with gathering data for internal review and for external partners, including various state agencies, partner companies and others
  • Assist with triage review of file referrals to SIU to expedite rejection/acceptance and move matters along investigative process

Must Haves:

  • Self-motivated and directed; the ability to collaborate is a must. Communication skills a must.
  • An Associate’s or Bachelor’s degree in Criminal Justice or a related field from an accredited college or university preferred
  • 1-3 years of Special Investigations Experience preferred.
  • Former law enforcement experience preferred but not required.
  • CIFI – Certified Insurance Fraud Investigator, CIFA – Certified Insurance Fraud Analyst, and CIFR – Certified Insurance Fraud Representative certifications a plus
  • Demonstrated experience with Property and Casualty insurance products would be a plus.
  • Possess a solid command of the claims/SIU policies and procedures; exhibits sound interpretation of policies & procedures in investigating and resolving claims.
  • Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
  • Must possess effective verbal and written communication skills.
  • Must perform well in a fast-paced and dynamic environment.
  • Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines.
  • Strong intellectual curiosity and a desire to learn how to help others solve problems
  • Flexible and willing to do what is needed to get great work done

Benefits and Perks:

Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we’re fortunate to provide all of our Hippos with:

  • Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. We also offer a 401(k)-retirement plan, short & long-term disability, employer-paid life insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee Assistance Program (EAP)
  • Equity - This position is eligible for equity compensation
  • Training and Career Growth - Training and internal career growth opportunities
  • Flexible Time Off - You know when and how you should recharge
  • Little Hippos Program - We offer 12 weeks of parental leave for primary and secondary caregivers

Hippo is an equal opportunity employer, and we are committed to building a team culture that celebrates diversity and inclusion.

Hippo’s applicants are considered solely based on their qualifications, without regard to an applicant’s disability or need for accommodation. Any Hippo applicant who requires reasonable accommodations during the application process should contact the Hippo’s People Team to make the need for an accommodation known.