SIU Senior Investigator, Underwriting/Premium Investigations

CNA Insurance; Radnor (Delaware County); On-site; USD 72,000 - 141,000; Full time

Job summary

CNA Insurance is seeking a SIU Senior Investigator to manage complex investigations of suspected fraudulent claims. The role involves leading investigations, collaborating with various stakeholders, and providing guidance to claim teams. Candidates should have extensive experience in investigation, strong communication skills, and relevant qualifications. This position offers a competitive salary and comprehensive benefits.

Qualifications

• At least 8 years of investigation experience in insurance fraud or related fields.
• Relevant professional certifications (e.g., CFE, CIFI) are highly desirable.

Responsibilities

• Lead detailed investigations of suspected claim fraud.
• Develop and execute investigation strategies.
• Maintain accurate case records and prepare reports.

Skills

Investigation techniques

Communication

Analytical skills

Organizational skills

Interpersonal skills

Education

Bachelor's degree or equivalent

Advanced degree preferred

Tools

MS Office

Database querying

Job description

SIU Senior Investigator, Underwriting/Premium Investigations

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At CNA, we foster a culture where employees matter and are empowered to reach their full potential. Under minimal supervision, the SIU Senior Investigator manages complex suspected fraudulent claim or provider investigations within a specific line of business or region, providing guidance to claim teams and legal counsel.

Job Responsibilities:

• Lead detailed investigations of suspected claim fraud, collaborating with insureds, claimants, witnesses, and experts.
• Develop and execute investigation strategies independently or with team members.
• Manage investigation activities and oversee vendor partners in the field.
• Maintain accurate case records and prepare comprehensive reports of findings.
• Recommend claim resolutions based on investigation outcomes.
• Participate in process improvements and staff training initiatives.
• Assist in legal proceedings by gathering data, organizing facts, and testifying as needed.
• Stay current on insurance fraud laws, trends, and participate in professional associations.

Reporting Line:

Typically reports to a Manager or Director.

Skills and Qualifications:

• Deep knowledge of property and casualty claims handling.
• Expertise in investigation techniques and fact-finding.
• Strong communication and interpersonal skills.
• Ability to work independently and lead change.
• Excellent organizational and analytical skills.
• Proficiency in MS Office and database querying.
• Ability to travel occasionally.

Education and Experience:

• Bachelor's degree or equivalent; advanced degree preferred.
• At least 8 years of investigation experience in insurance fraud, law enforcement, litigation, or related fields.
• Relevant professional certifications (e.g., CFE, CIFI) are highly desirable.

Note: Compensation varies by jurisdiction, with a range of $72,000 to $141,000 annually. CNA offers comprehensive benefits. For accommodations, contact [e-mail].