SIU Investigator - Hybrid

Travelers•Sacramento, CA
•Hybrid

About The Position

Travelers Investigative Services uses specialized resources and technology to detect and deter fraudulent claims. The SIU Investigator analyzes, summarizes, and prioritizes information to identify potentially fraudulent activity. Supporting a Claim Center, the investigator investigates suspicious claims across all lines of business in a dynamic, fast-paced environment. The ideal candidate resides in or near Sacramento.

Requirements

  • At least two years of investigative experience, or at least three years of insurance claim, underwriting, or legal-related experience.
  • Analytical and problem-solving skills, including the ability to interpret information and facts and apply critical techniques to investigations.
  • Strong case management skills and the ability to manage work independently.
  • Ability to work in a high-volume, fast-paced environment while managing shifting priorities.
  • Influence and conflict-management skills.
  • Working-level knowledge of insurance and claim operations, including Commercial Lines, Personal Lines, and Workers Compensation products.

Nice To Haves

  • Bachelor's degree.

Responsibilities

  • Conduct insurance investigations, including relevant database searches, to uncover potentially fraudulent aspects of claims.
  • Periodically engage in specialized investigative areas, including Medical, Cyber, Cargo, and Fire Motive & Opportunity.
  • Analyze, monitor, and summarize technical information into actionable investigative strategies.
  • Use critical thinking to work through complex problems and reach logical conclusions.
  • Maintain contact with business partners, customers, and external resources throughout investigations, including claim, legal, and underwriting partners, public officials, and law enforcement officers.
  • Serve as a subject matter expert and liaison on fraud to business and industry partners.
  • Apply rules of evidence, recognize and evaluate evidence, and handle evidence collection and interpretation.
  • Apply local, state, and federal statutes to ensure investigations comply with applicable law and local office expectations.
  • Identify cases for potential insurance fraud prosecution and submit questionable claims to the National Insurance Crime Bureau.
  • Adapt to technology implementations, system upgrades, and digital tool rollouts, particularly involving AI, while maintaining productivity and service quality.
  • Perform other duties as assigned.

Benefits

  • Health insurance coverage for employees and eligible family members from the first day of employment.
  • Dollar-for-dollar 401(k) matching on contributions up to the first 5% of eligible pay, subject to an annual maximum.
  • Paying it Forward Savings Program, with an annual Travelers contribution to the employee's 401(k) when the employee makes a student loan payment.
  • Pension Plan funded 100% by Travelers.
  • At least 20 days of annual paid time off and nine paid company holidays.
  • Wellness program with tools, discounts, resources, and support for wellness goals and caregiving needs.
  • Mental health program with access to free professional counseling, health coaching, and other resources.
  • Matching Gift and Volunteer Rewards program.
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