SIU Investigative Analyst
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Job Location:
Chicago, IL - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
JOB SUMMARY:
We are seeking a dedicated Investigative Analyst to join our Special Investigations Unit (SIU) Team. The successful candidate will play a key role in supporting the SIU through data entry research and regulatory reporting functions. This position serves as the backbone of SIU operationsensuring that referrals rescissions and regulatory submissions are processed accurately and efficiently. The role offers the opportunity to grow into a more advanced analytical and case management capacity including predictive model review and case assignment responsibilities as experience develops.
RESPONSIBILITIES:
Referral Intake and Data Entry
oEnter all referrals and related documentation into the SIU database in a timely and accurate manner.
oEnsure data integrity and completeness for each referral record.
Investigative Support
oAssist SIU Investigators with case development including conducting LexisNexis ISO ClaimSearch and other database inquiries.
oRetrieve and organize background information to support investigations and reporting requirements.
Rescission Processing
oPrepare and complete rescission requests ensuring all supporting documentation is accurate complete and filed per internal procedures.
Regulatory Reporting
oSubmit required fraud referrals and case updates to State Departments of Insurance (DOI) in compliance with regulatory timelines and formatting standards.
oUtilize data and information from investigator reports to complete DOI submissions.
Predictive Model Review
oAnalyze system-generated alerts from predictive or AI-driven fraud models to identify patterns and potential concerns.
oCollaborate with investigators to refine detection criteria and identify model improvement opportunities.
Referral Assignment
oAssist with the triage and assignment of referrals to SIU investigators based on workload expertise and line of business.
oMonitor case aging and investigator workload to maintain balanced and efficient operations.
Provide regular updates to senior management on trends and developments
Projects and duties as assigned
Qualifications
QUALIFICATIONS:
Excellent interpersonal & communication skills
13 years of experience in insurance claims fraud investigation support or data analysis preferred.
Strong attention to detail organization and accuracy in data entry and reporting.
Familiarity with investigative databases such as LexisNexis ISO ClaimSearch or equivalent.
Working knowledge of Microsoft Excel Word and case management systems.
Excellent written and verbal communication skills.
Ability to handle confidential information with discretion and professionalism.
PREFERRED QUALIFICATIONS:
Knowledge of Accident and Health products (Life Accident Specified Disease Disability etc.)
Knowledge of Employer Benefits Group Disability Life Accident Specified Disease Disability
Technology proficiency PCs PowerPoint Word Outlook Excel Teams
EDUCATION AND EXPERIENCE:
Associate or Bachelors degree preferred (Criminal Justice Insurance Business Administration or related field). or
Experience in claims or investigations or a related field
Exposure to Insurance regulations and processes helpful
Required Experience:
IC
Key Skills
- ArcGIS
- Intelligence Community Experience
- GIS
- Python
- Computer Networking
- Data Collection
- Intelligence Experience
- R
- Relational Databases
- Analysis Skills
- Data Management
- Application Development
About Company
Chubb Life has been in Egypt since 2003. Chubb Life is the international life insurance division of Chubb - the world's largest publicly traded property and casualty insurance company by market capitalization.
