Travelers SIU Investigator in Diamond Bar, California
Job Opening ID: 9470BR
Title: SIU Investigator
Country: United States
City: Diamond Bar
Job Category: Claim
Target Openings: 1
Position Type: Experienced/Professional
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.
Under moderate supervision, this position is responsible for conducting field investigations in a fast paced environment. Investigations may contain elements of fraud or claims otherwise deemed suspicious in nature within all lines of business, including: Auto, Property, General Liability and Workers Compensation. Provides investigative expertise to detect fraud, limit exposure and protect company assets. This job does not manage staff.
Primary Job Duties & Responsibilities:
Analyzes, monitors and conveys highly technical information into actionable investigative strategies including the identification of complex case investigations. Conducts thorough and timely insurance field investigations with a focus on uncovering all potentially fraudulent aspects of a claim. Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion. Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations. Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation. Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies. Serves as the subject matter expert (liaison) on fraud to business and industry partners. Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation. Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations. Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau. Periodically engages in specialized investigative areas, including Medical, Cyber, Cargo, Fire Motive & Opportunity, etc. Proactively collaborates with the claim department to implement antifraud strategies. Testifies to findings. Other duties as assigned.
Education, Work Experience & Knowledge:
Bachelor's degree preferred.
Job Specific & Technical Skills & Competencies:
Analytical skills and ability to make deductions; logical and sequential thinker. - Intermediate Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process - Intermediate Effective business communication skills (Written & Verbal) - Intermediate Computer literate; database, Internet and social media proficient - Intermediate Interviewing skills - Intermediate -Computer literate; database and internet emerging social media use/search proficiency. - Intermediate Conflict management skills to deal with crisis situations, hostile witnesses, etc. -Intermediate Must be a self-motivated individual - Intermediate Excels at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while preserving material that leads to the resolution of the investigation. - Intermediate Knowledge of available resources (internal and external) to assist in investigations - Intermediate Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products. - Basic Time management and accurate record keeping - Intermediate Effective business communication skills (Written & Verbal) - Intermediate -Strong case management skills and the ability to manage your own work independently. - Intermediate Adapt to changes in process and shifting priorities - Basic Must take ownership/initiative; significant planning and goal setting skills required - Intermediate Presentation and training skills. Basic Understanding of claim best practices - Intermediate Leadership, including delegation and ability to get work done through others- Basic Influence and conflict management skills - Intermediate
Environmental Exposure to Excess Noise - Occasionally Exposure to Dirt, Dust, Fumes, Smoke, Gases, or Other Irritating Substances - Occasionally Exposure to Variable Weather Conditions - Occasionally Operate or work around moving machinery - Occasionally Work Schedules Weekend work hours - Occasionally Overnight work hours - Occasionally Holiday work hours (Federal and religious) - Occasionally Other Travel - Occasionally
Operates standard office equipment - Frequently Sitting (can stand at will) - Continuously Standing - Occasionally Lifting items 11 to 20 pounds - Occasionally Climbing unprotected heights (ladder, rooftop, stairs, loading dock) - Occasionally Use of Keyboards, Sporadic 10-Key - Frequently Working in a confined or restricted area - Occasionally Driving - Frequently
Equal Employment Opportunity Statement:
Travelers is an equal opportunity employer.