Fraud & Investigations Specialist (SIU)

VetJobs

Diamond Bar (CA)

On-site

USD 72,000 - 119,000

Full time

4 days ago
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Job summary

Travelers Insurance in Diamond Bar, CA seeks an SIU Investigator to analyze and prioritize information to uncover fraudulent activity within claims. The role supports a Claim Center and requires investigation across all lines of business in a dynamic environment.

The ideal candidate has a Bachelor's Degree, strong analytical and communication skills, and at least two years of investigative experience or three years in insurance claim/legal roles.

Qualifications

  • Bachelor's Degree required; analytical and problem‑solving skills to interpret information.
  • Strong case management abilities and ability to manage workload independently.
  • Ability to work in a high‑volume, fast‑paced environment with shifting priorities.
  • Influence and conflict management skills.
  • Working knowledge of insurance and claim operations (Commercial/Personal Lines, Workers Compensation).
  • Two years of investigative experience or three years of insurance claim, underwriting, or legal related experience.

Responsibilities

  • Conducts insurance investigations including database searches to uncover potentially fraudulent aspects of a claim.
  • Analyzes, monitors and summarizes technical information into actionable investigative strategies.
  • Provides exceptional customer service by maintaining contact with partners, customers and external resources throughout investigations.
  • Serves as liaison on fraud to business and industry partners.
  • Applies rules of evidence and analyzes its value to specific claims and evidence collection.
  • Ensures investigations comply with Local, State and Federal statutes and internal requirements.
  • Identifies cases for potential insurance fraud prosecution and reports to relevant authorities.

Skills

Analytical thinking
Case management
Independent work
Prioritization

Education

Bachelor's Degree
High School Diploma or GED

Job description

Travelers Insurance in Diamond Bar, CA seeks an SIU Investigator to analyze and prioritize information to uncover fraudulent activity within claims. The role supports a Claim Center and requires investigation across all lines of business in a dynamic environment.

The ideal candidate has a Bachelor's Degree, strong analytical and communication skills, and at least two years of investigative experience or three years in insurance claim/legal roles.

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