Major Case Investigator

Travelers•Las Vegas, NV

18h

About The Position

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 Specialized Investigator, you will analyze highly complex technical information with minimum oversight to identify major case or underwriting investigations with regional and national implications with potential for litigation.

Requirements

Bachelor's Degree.
Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process.
Influence and conflict management skills to deal with crisis situations
Excels at working independently, while making decisions to successfully pursue investigations through establishing significant facts while preserving material that leads to the resolution of the investigation.
Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products.
Two years of investigative experience or two years insurance claim or underwriting or legal related experience.

Responsibilities

Proactively analyzes highly technical information from multiple sources including leveraging the analytics team, explores new approaches and sources of information, and makes key decisions to drive cases to resolution with minimum oversight.
Applies the techniques of critical thinking to prioritize and develop investigations that have complex allegations and/or significantly financial impact to multiple claims spanning across multiple lines of business and potentially across several states.
Provides exceptional customer service to business partners by maintaining contact, providing information, conducting technical training, and identifying trends, through the life cycle of an investigation.
Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
Serves as the subject matter expert, including conducting case presentations, to internal and external business 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.
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.