Workers Compensation SIU Investigator
Workers Compensation SIU Investigator
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$ 68000 - 115000
1 Vacancy
Job Description
Workers Compensation SIU Field Investigator
Job Title: Workers Compensation SIU Filed Investigator
Area of Interest: InsuranceClaimsSIU
Countries: USA
State: CA
Job Description:
Chubb is currently seeking a Workers Compensation SIU Field Investigator to join our team working in the State of California. This individual will be responsible for investigating Workers Compensation claims to assist our team in making informed claim decisions.
Position Responsibilities:
As a critical part of the Workers Compensation Claim discipline this position is responsible for collaborating with internal and external customers to:
- Analyze first reports of loss underlying file material and/or underwriting file to determine if claim is suspect or potentially fraudulent.
- Conduct a complete indepth investigation to develop sufficient evidence to make the appropriate claim handling decision.
- Recommend a final course of Claim action including the substantiation of legitimate claim or denial of an unjustified claim and/or a recommendation of further punitive action to successfully execute the above.
- Collaborating and communicating with the following during the investigation: Claim Department Claim Operations Loss Control Department Underwriting Departments Agents Defense Counsel Insureds SIU Manager Law Enforcement Regulatory Agencies and Industry AntiFraud Organizations
- Establishing strong business relationships and delivering exceptional customer service.
- Maintaining and monitoring an active diary properly documenting all developments in claim file preparing investigative reports maintaining suspicious claim database and preparing reports on a quarterly basis to SIU management.
- Be familiar with and adhere to all State fraud statutes.
- Actively pursue memberships in professional AntiFraud investigative organizations and participate in associated training and events offered.
- Develop and provide fraud awareness training to internal and external customers.
Qualifications
Knowledge & Skills:
- Candidate should possess a minimum of 5 years of experience as an Investigator with an insurance carrier law enforcement or the US military. Workers Compensation insurance investigation experience is a plus.
- High level of acumen in the areas of investigation listening strategic/analytical thinking problem solving and innovative thinking
- Strong knowledge of general industry trends and legislative activities regarding fraudulent claim handling tort reform fraud statutes and civil/criminal procedures
- Clear interest in and quality execution of deeper level investigations
- Strong interpersonal/ relationship skills proven ability to build and maintain excellent customer relationships in all situations; success with being a positive face to customers; ability to investigate through relationships; acumen to build and maintain successful relationships with internal colleagues as well as local law enforcement attorney general employees and insurance bureaus.
- Proficiency with Microsoft Outlook Microsoft Word Microsoft Excel is needed.
- The candidate must have excellent verbal and written communication skills.
Travel:
- Yes 50% of the time.
Education:
- CollegeDegree preferred andpriorinvestigativeexperiencerequired.
- Professional Insurance Designations desired but not required.
Note:
- No relocation assistance available.
The pay range for the role is $68000 to $115000. The specific offer will depend on an applicants skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
Employment Type
Full-Time
