SIU Auto Insurance Investigator- Midwest

Are You Driven?® We Are.

We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make on a daily basis. At GAINSCO, it is our people that set us apart.

If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you.

Why Join GAINSCO?

GAINSCO’s work environment rewards engaged individuals who have a desire to contribute and succeed. That’s because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a champion with GAINSCO.

As an SIU Investigator, you’ll play a critical role in identifying, investigating, and resolving suspicious or potentially fraudulent auto insurance claims. You’ll use your technical knowledge, analytical skills, and field experience to gather facts, conduct interviews, and deliver timely, accurate findings that support fair claim outcomes and regulatory compliance.

What does a SIU INVESTIGATOR do?

Lead investigations into suspicious claims by establishing scope, direction, and timelines.

Conduct background checks, public record searches, and interviews with claimants, witnesses, and insured, either directly or through third-party vendors.

Collect and analyze evidence including police reports, vehicle inspections, and medical clinic visits.

Conduct Examinations Under Oath (EUO) and neighborhood canvassing as needed.

Communicate findings to internal stakeholders and contribute to claim resolution strategies.

Work closely with adjusters and internal departments to share findings and coordinate investigative efforts.

Liaise with law enforcement, the National Insurance Crime Bureau (NICB), and regulatory agencies.

Provide training and guidance to claims staff on fraud indicators and investigative best practices.

Ensure investigations are completed in a timely and compliant manner.

Document procedures and findings in accordance with company and regulatory guidelines.

Stay current on industry trends, fraud schemes, and state-specific regulations.

Maintain awareness of company policies and legal requirements.

What is required?

Education:

High School Diploma or Equivalent.

Certifications:

To perform the essential functions of this job an active Texas or Florida Adjuster License will be preferred to comply with state and GAINSCO requirements.

Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.

All licenses must be maintained in accordance with state requirements.

CFE (Certified Fraud Examiner) or CIFI (Certified Insurance Fraud Investigator) certification is a plus.

Experience:

Minimum of 4 years of auto insurance claims experience required.

Minimum 3 years of investigative experience required.

Preferred insurance handling experience for the states of: VA, MD, PA, NJ, OH, IL, FL, TX, UT, AL.

Other skills and abilities:

Excellent verbal and written communications skills

Ability to manage your own time while prioritizing multiple tasks

Ability to remain calm when dealing with difficult customers

Effective negotiating skills

Ability to gather and analyze information in order to evaluate results and choose the best solution to the problem

Bilingual (English/Spanish) preferred

Occasional weekend work may be required

What else do you need to know?

Desk role for Midwest area locations: following state: Illinois, Indiana, Kentucky, Missouri, Ohio, Tennessee.

Excellent benefits package: medical & dental, vision insurance, life insurance, short term and long term disability insurance.

Parental Leave Policy.

401K + Company Match.

PTO + Paid Company determined Holidays.

**Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity**

All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.

GAINSCO is an Equal Employment Opportunity Employer