Major Case Investigator - Diamond Bar, CA

VetJobs; Diamond Bar (CA); On-site; USD 86,000 - 141,000; Full time

Job summary

Travelers Insurance is seeking a SIU Specialized Investigator to analyze highly technical information with minimal oversight and identify major case or underwriting investigations with regional and national implications. The role requires fast decision-making and strong investigative experience.

The incumbent will collaborate with analytics teams, engage public officials, and present findings to partners while adhering to laws and internal policies.

Qualifications

• Two years of investigative experience or two years insurance claim or underwriting or legal related experience.
• Bachelor's Degree.
• Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process.
• Influence and conflict management skills to deal with crisis situations
• Excels at working independently, while making decisions to successfully pursue investigations through establishing significant facts while preserving material that leads to the resolution of the investigation.
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products.

Responsibilities

• Proactively analyzes highly technical information from multiple sources including leveraging the analytics team, explores new approaches and sources of information, and makes key decisions to drive cases to resolution with minimum oversight.
• Applies the techniques of critical thinking to prioritize and develop investigations that have complex allegations and/or significantly financial impact to multiple claims spanning across multiple lines of business and potentially across several states.
• Provides exceptional customer service to business partners by maintaining contact, providing information, conducting technical training, and identifying trends, through the life cycle of an investigation.
• Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
• Serves as the subject matter expert, including conducting case presentations, to internal and external business 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.
• 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 thinking

Conflict management

Independent working

Insurance/claims knowledge

Education

High School/GED

Bachelor's Degree

Job description

Our organization works with partner companies to source qualified talent for their open roles.

The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers.

Who Are We?

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category

Claim

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$85,600.00 - $141,200.00

Target Openings

1

What Is the Opportunity?

Travelers Investigative Services provides industry-first resources designed to detect and deter fraudulent claims. Using some of the most comprehensive technology available, we have the abilities and expertise to identify potential risks and combat fraudulent practices. As an SIU Specialized Investigator, you will analyze highly complex technical information with minimum oversight to identify major case or underwriting investigations with regional and national implications with potential for litigation.

What Will You Do?

• Proactively analyzes highly technical information from multiple sources including leveraging the analytics team, explores new approaches and sources of information, and makes key decisions to drive cases to resolution with minimum oversight.
• Applies the techniques of critical thinking to prioritize and develop investigations that have complex allegations and/or significantly financial impact to multiple claims spanning across multiple lines of business and potentially across several states.
• Provides exceptional customer service to business partners by maintaining contact, providing information, conducting technical training, and identifying trends, through the life cycle of an investigation.
• Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
• Serves as the subject matter expert, including conducting case presentations, to internal and external business 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.
• 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.

Minimum Education Required

High School/GED

Additional Qualifications/Responsibilities

What Will Our Ideal Candidate Have?

• Bachelor's Degree.
• Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process.
• Influence and conflict management skills to deal with crisis situations
• Excels at working independently, while making decisions to successfully pursue investigations through establishing significant facts while preserving material that leads to the resolution of the investigation.
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products.

What is a Must Have?

• Two years of investigative experience or two years insurance claim or underwriting or legal related experience.

City

Diamond Bar

State

California

Job_Category

Claims

Job Code

Ins Insurance

Affiliate Sponsor

Travelers Insurance