SIU Investigator

Chubb•Latham, NY

About The Position

Chubb Benefits, a Chubb Company, is a leading provider of individual and group accident, disability, health and life insurance products. This role is for an SIU Investigator to join a fast-paced, growing company with over 100 years in the insurance industry. The company is passionate about serving its customers and providing them peace of mind and protection when they need it the most. The North America Legal and Compliance Team seeks highly motivated individuals who exhibit best-in-class competencies and embody the Chubb Legal and Compliance culture. The team delivers high-quality work products, services, and solutions that demonstrate an understanding of the needs and requirements of business partners and support the achievement of team goals. They adapt to changing business needs and environments through a proactive, flexible approach that achieves results and strikes the proper balance among all constituencies. They demonstrate character, integrity, and professionalism, both within a team environment in Legal and Compliance and in fulfilling responsibilities to business partners. They build collaborative, trusting relationships with team members and business partners through superior communication skills, empathy, and respect. They independently manage work responsibilities through commitment, dedication, and accountability, and display an ongoing commitment to self-improvement.

Requirements

An Associate’s or Bachelor’s degree in Criminal Justice or a related field, OR five years of insurance claims investigation experience OR seven years of professional investigative experience involving economic or insurance fraud related matters.
Demonstrated understanding of the accident and health, and life insurance regulatory environment including HIPAA, GLBA, and other applicable privacy and data security regulations.
Strong analytical and technical skills in using data analytics and a deep understanding of insurance claims and fraud issues.
Demonstrated ability to develop relationships with business partners across the organization.
Ability to consistently execute and deliver results.
Ability to manage multiple cases in a dynamic business environment.
Strong knowledge of MS Project, Excel, PowerPoint, Word; and other research tools.

Nice To Haves

five years of professional investigation experience with law enforcement agencies

Responsibilities

Manage SIU Investigations and provide frequent communication on ongoing investigations.
Manage investigative workflow and prioritize incoming and pending caseload.
Work collaboratively with Chubb Benefits’ Claims Department to develop individual investigative strategies to combat claim fraud in an efficient and effective manner for each case.
Develop and maintain relationships with, and provide timely guidance and advice to, business partners.
Document all case activity timely and in compliance with local regulations.
Assure all reporting to both internal management and state insurance departments is completed timely and in accordance with state and local regulations.
Assist in the preparation of responses to regulatory inquiries, complaints, and audits.
Conduct direct telephonic interviews with policyholders, and other parties associated with claims or policies.
Develop timely investigative plans to address identified suspicious activity relevant to potential intentional misrepresentation.
Report and escalate issues and developments as required.