Fraud Investigations Analyst – SIU (Sacramento)

Travelers; Rancho Cordova (CA); On-site; USD 72,000 - 119,000; Full time

Benefits offered by this job

Health Insurance

401(k) matching

Paid Time Off

Pension Plan

Paid Holidays

Wellness Program

Volunteer Encouragement

Job summary

Travelers is seeking an SIU Investigator to analyze and prioritize information to uncover potentially fraudulent activity within a dynamic claim center. The ideal candidate will reside in or near Sacramento and bring investigative experience in insurance claims or related fields.

You will collaborate with claim, legal, underwriting partners and external resources to build actionable investigations. Join a team that values analytical thinking, strong case management, and the ability to handle

Qualifications

• Bachelor's Degree.
• Analytical and problem-solving skills to use and interpret information and facts as well as apply critical techniques to investigative process.
• Strong case management skills and the ability to manage your own work independently.
• Ability to work in a high volume, fast paced environment managing multiple shifting priorities.
• Influence and conflict management skills.
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products.

Responsibilities

• Conducts insurance investigations including applicable data base searches with a focus on uncovering all potentially fraudulent aspects of a claim.
• Periodically engages in specialized investigative area, including Medical, Cyber, Cargo, Fire Motive & Opportunity, etc.
• Analyzes, monitors and summarizes technical information into actionable investigative strategies.
• Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion.
• Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation, including liaison network with claim, legal, underwriting partners, public officials, law enforcement officers and others to obtain assistance in conducting investigations.
• 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.
• Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations.
• Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau.
• Adapt to new technology implementations, system upgrades, and digital tool rollouts, particularly in the areas of AI while maintaining productivity and service quality.
• Perform other duties as assigned.

Skills

Analytical and problem-solving skills

Strong case management skills

Ability to work in a high volume, fast

Influence and conflict management

Working level knowledge of insurance

Education

Bachelor's Degree

Job description

Travelers is seeking an SIU Investigator to analyze and prioritize information to uncover potentially fraudulent activity within a dynamic claim center. The ideal candidate will reside in or near Sacramento and bring investigative experience in insurance claims or related fields.

You will collaborate with claim, legal, underwriting partners and external resources to build actionable investigations. Join a team that values analytical thinking, strong case management, and the ability to handle