SIU Investigator - Fraud Analytics & Insurance Claims

The Travelers Indemnity Company; Diamond Bar (CA); On-site; USD 72,000 - 119,000; Full time

Benefits offered by this job

Health insurance

401(k) with match

Pension plan

Paid time off (min 20 days + 9 paidhol

Wellness program

Volunteer encouragement

Job summary

The Travelers Indemnity Company in California is seeking a SIU Investigator to analyze, summarize, and prioritize information to uncover potentially fraudulent activity. You will support a Claim Center and investigate suspicious claims across lines of business, with ideal candidates residing in LA, Orange, or Riverside counties.

Responsibilities include conducting investigations, applying evidence rules, and coordinating with partners across law enforcement, legal, and underwriting to obtain

Qualifications

• Bachelor's Degree.
• Two years of investigative experience or a minimum of three years insurance claim or underwriting or legal related experience.
• 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 database searches with a focus on uncovering all potentially fraudulent aspects of a claim.
• Analyzes, monitors and summarizes technical information into actionable investigative strategies.
• Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
• Serves as the subject matter expert 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 skills

Case management

High-volume environment

Influence & conflict management

Insurance claims knowledge

Investigative techniques

Education

Bachelor's Degree

Job description

The Travelers Indemnity Company in California is seeking a SIU Investigator to analyze, summarize, and prioritize information to uncover potentially fraudulent activity. You will support a Claim Center and investigate suspicious claims across lines of business, with ideal candidates residing in LA, Orange, or Riverside counties.

Responsibilities include conducting investigations, applying evidence rules, and coordinating with partners across law enforcement, legal, and underwriting to obtain