The Travelers Companies, Inc.

SIU Investigator

Posted on Apr 29 5 views Indianapolis, IN

Company Summary
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 160 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.

Target Openings

Job Description Summary
This position is responsible for conducting field investigations in a dynamic fast paced environment. Investigations may contain elements of fraud or claims otherwise deemed suspicious in nature within all lines of business, including: Auto, Property, General Liability and Workers Compensation. Provides investigative expertise to detect fraud, limit exposure and protect company assets.

Primary Job Duties & Responsibilities
  • Analyzes, monitors and conveys highly technical information into actionable investigative strategies including the identification of complex case investigations.
  • Conducts insurance investigations including applicable data base searches with a focus on uncovering all potentially fraudulent aspects of a claim.
  • Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion.
  • Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations.
  • Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
  • Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
  • 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.
  • Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
  • Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau.
  • Periodically engages in specialized investigative areas, including Medical, Cyber, Cargo, Fire Motive & Opportunity, etc.
  • Proactively collaborates with the claim department to implement antifraud strategies.
  • Testifies to findings.
  • Other duties as assigned.

Minimum Qualifications
  • A minimum of three years of investigative experience or a minimum of three years insurance claim related experience required.
  • Valid driver license required.

Education, Work Experience, & Knowledge
  • Bachelor's degree preferred.

Job Specific Technical Skills & Competencies
  • Analytical skills and ability to make deductions; logical and sequential thinker. - Intermediate
  • Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process - Intermediate
  • Effective business communication skills (Written & Verbal) - Intermediate
  • Computer literate; database, Internet and social media proficient - Intermediate
  • Interviewing skills - Intermediate
  • Computer literate; database and internet emerging social media use/search proficiency. - Intermediate
  • Conflict management skills to deal with crisis situations, hostile witnesses, etc. -Advanced
  • Must be a self-motivated individual - Intermediate
  • Excels at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while preserving material that leads to the resolution of the investigation. - Intermediate
  • Knowledge of available resources (internal and external) to assist in investigations - Intermediate
  • Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products. - Basic
  • Time management and accurate record keeping - Intermediate
  • Effective business communication skills (Written & Verbal) - Intermediate
  • Strong case management skills and the ability to manage your own work independently. - Intermediate
  • Adapt to changes in process and shifting priorities - Basic
  • Must take ownership/initiative; significant planning and goal setting skills required - Intermediate
  • Presentation and training skills. Basic
  • Understanding of claim best practices - Intermediate
  • Leadership, including delegation and ability to get work done through others- Basic
  • Influence and conflict management skills - Intermediate

Environmental / Work Schedules / Other
  • Operates standard office equipment - Frequently
  • Sitting (can stand at will) - Continuously
  • Standing - Occasionally
  • Lifting items 11 to 20 pounds - Occasionally
  • Climbing unprotected heights (ladder, rooftop, stairs, loading dock) - Occasionally
  • Use of Keyboards, Sporadic 10-Key - Frequently
  • Working in a confined or restricted area - Occasionally
  • Driving - Frequently

Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

If you have questions regarding the physical requirements of this role, please send us an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.