SIU Investigator - Diamond Bar, CA

VetJobs•Diamond Bar, CA

9d•$72,200 - $119,000

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, investigating 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 claim, underwriting, or legal-related experience.
Analytical and problem-solving skills to interpret information and facts and apply critical techniques to the investigative process.
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, Commercial Lines, Personal Lines, and Workers Compensation insurance 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.
Apply critical-thinking techniques to resolve 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 subject matter expert and liaison on fraud for business and industry partners.
Apply rules of evidence, recognize evidence, determine its value to a claim, and 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 new technology implementations, system upgrades, and digital tool rollouts, particularly involving AI, while maintaining productivity and service quality.
Perform other duties as assigned.