CITON Claims Solutions, LLC is a premier provider of claims management and investigation services for insurance carriers nationwide. CITON specializes in delivering efficient, technology-driven solutions that improve claim outcomes, reduce fraud exposure, and enhance operational performance.

ABOUT THE ROLE:

CITON is seeking an experienced SIU Investigator to conduct comprehensive investigations into suspicious or potentially fraudulent insurance claims. This role requires strong field investigative experience, analytical skills, and the ability to independently manage complex case assignments across multiple jurisdictions.

The ideal candidate will play a critical role in protecting the integrity of the claims process through detailed investigations, accurate reporting, and collaboration with internal teams, law enforcement, and regulatory agencies.

WHAT YOU’LL DO:

• Conduct detailed, timely, and thorough investigations utilizing established SIU investigative principles
• Perform field and scene investigations, including inspections and evidence documentation
• Obtain recorded statements from insureds, claimants, and witnesses
• Analyze claims, documentation, and data to identify fraud indicators and inconsistencies
• Prepare comprehensive investigative reports and summaries supporting findings
• Conduct or support Examinations Under Oath (EUO) as required
• Ensure compliance with Department of Insurance reporting requirements and anti-fraud regulations
• Collaborate with claims teams, legal counsel, and SIU leadership on complex investigations
• Coordinate with external partners including NICB, law enforcement, IASIU, and investigative vendors
• Provide deposition and courtroom testimony when required
• Maintain accurate documentation and case management tracking
• Participate in fraud awareness training and internal education initiatives
• Attend industry meetings and maintain required anti-fraud continuing education

WHAT WE’RE LOOKING FOR:

• Bachelor’s degree preferred or equivalent professional experience
• Minimum 4+ years of SIU, fraud investigation, or investigative law enforcement experience
• Experience handling complex, high-volume investigative caseloads
• Prior military or law enforcement investigative experience considered a strong plus

Core Competencies

• Strong investigative and analytical skillset
• Ability to work independently with minimal direction
• Excellent written and verbal communication skills
• Sound judgment and decision-making ability
• Knowledge of medical terminology and claims-related documentation
• Proficiency with Microsoft Office, investigative tools, open-source intelligence, and Verisk platforms
• Strong relationship-building skills with internal and external stakeholder

Preferred Certifications

• CIFI (Certified Insurance Fraud Investigator)
• CFE (Certified Fraud Examiner)
• FCLS, FCLA or other relevant industry designations

WHAT’S IN IT FOR YOU:

Join Our Team & Make an Impact! At CITON Claims Solutions, we don’t just meet expectations, we exceed them. If you’re ready to take your career to the next level and be part of a growing, forward-thinking company, apply today!

• High-impact role with visibility into fraud prevention strategy
• Opportunity to work with advanced investigative tools and analytics
• Collaborative environment with experienced SIU leadership
• Competitive compensation and performance incentives
• Benefits: Medical, dental, vision, 401k, paid holidays, PTO and more!

While performing general duties for this position, the employee is regularly required to sit, stand, and/or walk around (including the use of stairs). Other demands include the ability to openly communicate with others by talking, listening, comprehending, and reading; being able to lift light objects (<25 lbs); and using standard office equipment such as computers, printers, and phones.  In addition, there is an occasional need to bend, twist, or squat down to open/close cabinets and reach for files or other standard office-type objects.  

Orion180 is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. 

Reasonable accommodations are available for qualified individuals with disabilities during the application process. Applicants who need accommodations may email hr@orion180.com to request assistance.