SIU Investigator - Diamond Bar, CA

VetJobs

Diamond Bar (CA)

Presencial

USD 72.000 - 119.000

Jornada completa

Hace 4 días
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Descripción de la vacante

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.

Formación

  • 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.

Responsabilidades

  • 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.

Conocimientos

Analytical thinking
Case management
Independent work
Prioritization

Educación

Bachelor's Degree
High School Diploma or GED

Descripción del empleo

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS — 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.

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.

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 $72,200.00 - $119,000.00

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 Investigator, you will analyze, summarize and prioritize information to uncover potentially fraudulent activity. The investigator, supporting a Claim Center, will investigate claims deemed suspicious in nature within all lines of business. The investigator will conduct thorough and comprehensive investigations in a dynamic, fast paced environment.

Ideal candidate must live or reside in LA county, Orange County or Riverside County

What Will You Do?
  • 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.

Auto req ID 486906BR

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.
  • 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.
What is a Must Have?

Two years of investigative experience or a minimum of three 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

Salary Range $60,000-$75,000

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