Sr SIU Investigator

Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Job Description

PURPOSE OF THE JOB:

The Senior SIU Investigator is responsible for leading complex investigations involving suspected insurance fraud across multi-lines of business and jurisdictions. This role conducts in-depth analysis of claims and non-claim activities including underwriting and internal referrals while ensuring compliance with legal and regulatory standards. The Senior Investigator serves as a subject matter expert, collaborating with internal departments, legal counsel, and external agencies such as law enforcement, fire marshals, departments of insurance, and the National Insurance Crime Bureau. Additionally, this role mentors SIU investigators and contributes to the development of fraud prevention initiatives that protect the company and its insureds.

ESSENTIAL FUNCTIONS:

• Oversees a caseload of complex claims and underwriting investigations, exercising elevated reserve authority beyond that of SIU Investigator.
• Conducts comprehensive policy analysis, including coverage and exclusion reviews, followed by in-depth investigations to accurately assess exposure.
• Leads the management of litigation claims across all lines of business for both personal and commercial claims.
• Independently determines and sets strategic claim reserves to ensure accurate financial forecasting and risk mitigation.
• Develops and coordinates litigation strategies with defense counsel that balance cost-efficiency with optimal outcomes for the company and insureds.
• Evaluates complex bodily injury, property damage, and contents claims, including calculation of past/future medical expenses, wage loss, and personal injury valuations; engages expert consultants when necessary.
• Exercises sound judgment in daily decision-making, balancing investigative outcomes with financial exposure and operational impact.
• Represents the company in legal proceedings, including court-ordered mediations, depositions, and trials.
• Champions fraud awareness initiatives by developing and delivering training presentations to internal teams across departments.
• Identifies opportunities for discovering fraudulent activity by insureds, claimants, providers through investigative handling.
• Prepares comprehensive investigative summaries for leadership and external agencies, including law enforcement, departments of insurance, fire marshals, National Insurance Crime Bureau and the Attorney General's office

ADDITIONAL RESPONSIBILITIES:

• Builds cross-functional partnerships with internal departments to enhance investigative outcomes and promote enterprise-wide fraud prevention strategies.
• Fosters a positive workplace environment by promoting open communication, mutual respect, and cross functional collaboration across teams and departments.
• Provides mentorship and guidance to SIU Investigators fostering professional growth.

REQUIRED QUALIFICATIONS:

• Bachelor's degree.

• Six to eight years of experience.

• Supervisory/management experience not applicable.

PREFERRED QUALIFICATIONS:

• Law enforcement or prior investigative background preferred

OCCUPATIONAL REQUIREMENTS:

• The position is physically comfortable and has discretion about walking, standing, sitting, etc.

• A person in this position normally receives little instruction on day-to-day work and receives general instructions on new assignments.

• The position requires physical presence in company office on full-time basis.

• No adverse working or environmental conditions expected.

• This position is an Individual Contributor.

JOB FAMILY:

SIU Investigator

Senior SIU Investigator

SIU Examiner

SIU Manager