SIU Investigator - Diamond Bar, CA

Military Spouse Corporate Career Network•Diamond Bar, CA

About The Position

Travelers Investigative Services uses technology and specialized expertise to detect and deter fraudulent insurance claims. The SIU Investigator analyzes, summarizes, and prioritizes information to identify potentially fraudulent activity and investigates suspicious claims across all lines of business in support of a Claim Center. The role conducts thorough investigations in a dynamic, fast-paced environment. The ideal candidate must live or reside in Los Angeles County, Orange County, or Riverside County.

Requirements

At least two years of investigative experience, or at least three years of insurance claims, underwriting, or legal-related experience.
Analytical and problem-solving skills, including the ability to interpret information and facts and apply critical thinking 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.
Must live or reside in Los Angeles County, Orange County, or Riverside County.

Nice To Haves

Bachelor's degree.

Responsibilities

Conduct insurance investigations, including applicable 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 break down complex problems and reason through them to 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 fraud subject matter expert and liaison to business and industry partners.
Apply rules of evidence, recognize and evaluate evidence, and determine its relevance to specific claims, including 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.