Job Description

What Is the Opportunity?

This SIU Investigator 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.

This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. Ideal candidate will reside in Orange County, Ventura County or Los Angeles County.

What Will You Do?

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.
Perform other duties as assigned.

What Will Our Ideal Candidate Have?

Bachelor’s Degree preferred.
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

What is a Must Have?

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

What Is in It for You?

Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you’re eligible for five free counseling sessions with a licensed therapist.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.