SIU Investigative Experience
The SIU Investigative Experience domain is the heart of the credential: it asks whether your special investigation unit work is documented with enough depth, variety, and outcome evidence to demonstrate real fraud-investigation competence. Titles do not score; described work does.
What reviewers look for
- Continuity and duration: employer, dates, title, and case types handled.
- Line-of-business breadth: auto, property, casualty, workers' compensation, medical provider, and life/health fraud.
- Actions you personally performed: scene examinations, recorded statements, examinations under oath, canvasses, database and social-media research, background checks, and referral preparation for NICB or counsel.
- Outcomes: denials, rescissions, restitution, civil recovery, prosecutor referrals, and convictions.
- Verification: employer letters, redacted case logs, and representative reports.
Worked example
An applicant states five years as an SIU investigator, but the employer letter says only “investigator.” The applicant adds a case log: 40 auto bodily-injury referrals, 12 scene inspections, 15 recorded statements, 6 EUOs, 3 NICB referrals, and 2 prosecutions. Reasoning: the log converts a job title into evidence of scope, and the referrals and prosecutions are the strongest quality markers.
Traps that cost marks
- Counting ordinary claims adjusting as SIU time when no fraud-specific investigation occurred.
- Vague descriptions with no case types or volumes.
- Omitting employer verification.
- Overstating outcomes without corroboration - reviewers may ask for the referral or charging document.