SIU Investigator - Hybrid
About The Position
Travelers Investigative Services provides resources and technology to detect and deter fraudulent claims. The SIU Investigator analyzes, summarizes, and prioritizes information to uncover potentially fraudulent activity, supporting a Claim Center by investigating suspicious claims across all lines of business in a dynamic, fast-paced environment. The ideal candidate resides in or near Sacramento. The investigator conducts comprehensive investigations, develops actionable investigative strategies, maintains contact with business partners and other parties throughout each investigation, and serves as a subject matter expert on fraud. The role applies evidence rules and relevant laws, identifies matters for potential prosecution, and adapts to new technologies 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 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.
Nice To Haves
- Bachelor's degree.
- Working-level knowledge of insurance and claim operations, including Commercial Lines, Personal Lines, and Workers Compensation insurance products.
Responsibilities
- Conduct insurance investigations, including applicable database searches, with a focus on uncovering 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, using critical thinking to resolve complex problems.
- 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 evidence, determine its value to a claim, and conduct 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 eligible employees and family members beginning on the first day of employment.
- Dollar-for-dollar 401(k) matching contributions up to the first 5% of eligible pay, subject to an annual maximum.
- Paying it Forward Savings Program contributions to an employee's 401(k) when the employee makes a payment toward student loan debt.
- Pension Plan funded 100% by Travelers.
- At least 20 days of paid time off annually.
- 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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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
