SIU Investigative Analyst

SIU Investigative Analyst

Company: Combined, a Chubb Company

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 operations—ensuring 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

• Enter all referrals and related documentation into the SIU database in a timely and accurate manner.
• Ensure data integrity and completeness for each referral record.
• Assist SIU Investigators with case development, including conducting LexisNexis, ISO ClaimSearch, and other database inquiries.
• Retrieve and organize background information to support investigations and reporting requirements.
• Prepare and complete rescission requests, ensuring all supporting documentation is accurate, complete, and filed per internal procedures.

Regulatory Reporting

• Submit required fraud referrals and case updates to State Departments of Insurance (DOI) in compliance with regulatory timelines and formatting standards.
• Utilize data and information from investigator reports to complete DOI submissions.
• Analyze system-generated alerts from predictive or AI-driven fraud models to identify patterns and potential concerns.
• Collaborate with investigators to refine detection criteria and identify model improvement opportunities.

Referral Assignment

• Assist with the triage and assignment of referrals to SIU investigators based on workload, expertise, and line of business.
• Monitor 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:

• Excellent interpersonal & communication skills.
• 1–3 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 Bachelor’s 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.

OUR BENEFITS

• Health insurance
• A company-match 401(k) plan
• Disability insurance
• Life insurance

ABOUT COMBINED INSURANCE

Combined Insurance Company of America is a Chubb company and a leading provider of supplemental accident, health, disability, and life insurance products in North America. Headquartered in Chicago, with satellite office in Columbia, SC, Combined is celebrating over 100 years in business. We are committed to making the world of supplemental insurance easy to access and understand. The company has an A+ rating by the Better Business Bureau and an A+ (Superior) financial strength rating by A.M. Best. We are ranked by VIQTORY as the number one Military Friendly® Employer in 2023 (over $1 billion revenue category), marking Combined’s twelfth consecutive year on the Top 10 list. We pride ourselves on approaching all situations with a Positive Mental Attitude (PMA) and encouraging collaboration.

ABOUT CHUBB

Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

Seniority Level

• Associate

Employment Type

• Full-time

Job Function

• Legal
• Insurance