SIU Investigator

Responsibilities

• Manage SIU investigations and provide frequent communication on ongoing cases
• Manage investigative workflow and prioritize incoming and pending caseloads
• Collaborate with the Claims Department to develop effective investigative strategies to combat fraud
• Document all case activity in a timely manner and in compliance with local regulations
• Ensure all reporting to internal management and state insurance departments meets regulatory requirements
• Conduct direct telephonic interviews with policyholders and other associated parties
• Develop timely investigative plans to address identified suspicious activity and intentional misrepresentation
• Report and escalate critical issues and developments as required

Requirements

• Associate's or Bachelor's degree in Criminal Justice or a related field
• 5 years of insurance claims investigation experience OR 5 years of law enforcement investigation experience OR 7 years of economic/insurance fraud investigation experience
• Demonstrated understanding of the accident, health, and life insurance regulatory environment (including HIPAA and GLBA)
• Strong analytical and technical skills in using data analytics
• Proficiency in MS Project, Excel, PowerPoint, and Word
• Ability to manage multiple cases in a dynamic, fast-paced business environment

Benefits

• Health, dental, and life insurance
• Disability insurance
• Company-match 401(k) plan
• Tuition reimbursement
• Employee referral bonuses

About the Company

Chubb Benefits, a Chubb Company, is a leading provider of individual and group accident, disability, health, and life insurance products. With over 100 years of experience in the insurance industry, we are dedicated to providing our customers with peace of mind and protection when they need it most.