SIU Investigator

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Minimum 2-year college degree or equivalent law enforcement or claim experience., Claim, legal or law enforcement background preferred., Working level knowledge of insurance and claim operations, commercial, personal and insurance products., High degree of integrity and confidentiality required. .

Key responsibilities:

  • Conduct investigations to detect fraud on claims against the company.
  • Prepare and submit investigative reports covering all phases of the investigation.
  • Establish and maintain liaison with public officials and law enforcement officers.
  • Guide and train other investigators in the performance of their duties.

Travelers logo
Travelers Insurance XLarge http://www.travelers.com
10001 Employees
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Job description

Who Are We?

Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers – and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

Job Category
Claim

Target Openings
1

What Is the Opportunity?
Conduct investigations to detect fraud on claims against the company. Provide investigative expertise to limit exposure and protect company assets. These investigations involve all lines of insurance. Position may include functions as described below.
What Will You Do?
  • Conducts investigations with a focus on thoroughness, quality, with attention to detail, timeliness and cost control.
  • Prepares and submits investigative reports covering all phases of the investigation in each case for approval.
  • Assists with the development and training of the claim staff in the detection of external and or internal fraud, plus workplace violence.
  • Interprets and conveys highly technical information to others.
  • Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation. Requires clear understanding of the rules of evidence.
  • Establishes and maintains liaison with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
  • Knowledgeable about all applicable fraud statutes: local, provincial and federal to ensure duties and assignments are carried out within the requirements of applicable law and local office expectations.
  • High degree of integrity and confidentiality required handling information that is considered personal and confidential.
  • Customer Service and relationship/team building by maintaining contact during the course of investigations with company's claim services, Marketing and Underwriting colleagues, claimants, policyholders, agents, counterparts in other firms, external legal professionals, external medical professionals, financial institutions, government/regulatory agencies, potential customers and vendors and suppliers.
  • Develops network of resources within the community (e.g., local fraud bureaus, crown attorneys offices, law enforcement agencies, insurance associations, professional associations, and community groups).
  • Requires overnight travel.
  • Works in a position where frequent exposure to noise, dirt, odors or where work may be performed in a confined or restricted area.
  • An investigator can function as lead role by performing all of the following duties in addition to those described above:
  • Responsible for guiding and training other investigators in the performance of their duties.
  • Serves as subject matter expert in two or more specialty areas (e.g., major case, medical fraud, construction losses. etc.).
  • Runs special projects or initiatives at local and regional level with planning and implementation responsibilities and accountability for outcome.
  • May serve as assistant and backup for Regional Manager.
  • May close cases, assign work, direct activities of investigators as 'lead' with clear line of authority in Manager's absence.
  • Represents SIU as a technical resource by attending unit meetings (e.g., auto, property, subrogation, marketing, underwriting, legal proceedings as needed at the local level and acts within established professional guidelines as well as applicable state laws.
  • Perform other duties as assigned.
What Will Our Ideal Candidate Have?
  • Claim, legal or law enforcement background preferred.
  • Working level knowledge of insurance and claim operations, commercial, personal and insurance products and litigation management.

What is a Must Have?
  • Minimum 2-year college degree or equivalent law enforcement or claim experience.

What Is in It for You?
  • Health Insurance: Employees and their eligible family members – including spouses, partners, and children – are eligible for coverage from the first day of employment.
  • Retirement: Travelers provides a core contribution of 3% of your total eligible earnings to your Deferred Profit Sharing Plan (“DPSP”). Travelers also matches your savings plan contribution dollar-for-dollar up to 5% of base pay.
  • Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off (“PTO”) annually, plus the opportunity to purchase additional days to allow for up to a total of 36 PTO days per year. You will also receive twelve paid company Holidays.
  • Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
  • Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. 

We are committed to providing accommodation to persons with disabilities. If you require accommodation during the recruitment or interview process we will work with you to accommodate your needs.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Investigation
  • Report Writing
  • Customer Service
  • Training And Development
  • Client Confidentiality
  • Detail Oriented
  • Team Building
  • Personal Integrity

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