SIU Investigator

Travelers•Las Vegas, NV

About The Position

Travelers Investigative Services provides resources and technology to detect and deter fraudulent claims. The SIU Investigator supports a Claim Center by investigating suspicious claims across all lines of business. The role involves analyzing, summarizing, and prioritizing information to uncover potentially fraudulent activity and conducting thorough investigations in a dynamic, fast-paced environment. The investigator may periodically work in specialized areas such as Medical, Cyber, Cargo, or Fire Motive & Opportunity. The role also serves as a fraud subject matter expert and liaison to business and industry partners, while maintaining contact with internal and external stakeholders throughout each investigation. Investigators must conduct their work in accordance with applicable local, state, and federal laws and adapt to new technology, system upgrades, and digital tools, including AI.

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 investigative work.
  • Strong case management skills and ability to manage work independently.
  • Ability to work in a high-volume, fast-paced environment while managing multiple shifting priorities.
  • Influence and conflict management skills.
  • Working-level knowledge of insurance and claim operations, including Commercial Lines, Personal Lines, and Workers Compensation insurance products.

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.
  • Apply 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 relevant to claims, and collect and interpret evidence.
  • Apply local, state, and federal statutes and comply with applicable legal requirements 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 beginning on the first day of employment.
  • Dollar-for-dollar 401(k) match 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 student loan payments.
  • Pension Plan funded 100% by Travelers.
  • At least 20 days of annual paid time off.
  • Nine paid company holidays.
  • Wellness program with tools, discounts, and resources for wellness 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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