SIU Investigator - Hybrid - Rancho Cordova, CA

Military Spouse Corporate Career Network•Rancho Cordova, CA
•Hybrid

About The Position

Travelers Investigative Services uses technology and investigative expertise to detect and deter fraudulent claims. The SIU Investigator analyzes, summarizes, and prioritizes information to uncover potentially fraudulent activity. Supporting a Claim Center, the investigator handles suspicious claims across all lines of business and conducts thorough investigations in a dynamic, fast-paced environment. The ideal candidate resides in or near Sacramento, California. The position is hybrid in Rancho Cordova, California.

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-thinking techniques to investigations.
  • Strong case-management skills and 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 insurance products.

Nice To Haves

  • Bachelor’s degree.

Responsibilities

  • Conduct insurance investigations, including relevant database searches, to uncover potentially fraudulent aspects of claims.
  • Periodically work in specialized investigative areas, such as medical, cyber, cargo, and fire motive and opportunity.
  • Analyze, monitor, and summarize technical information into actionable investigative strategies.
  • Apply critical-thinking techniques to investigate 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 fraud subject matter expert and liaison to business and industry partners.
  • Apply rules of evidence; recognize evidence and assess its value to a claim; collect and interpret evidence.
  • 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

  • Performance-based cash incentive awards.
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