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SIU Investigator

$57k - $83k

Chubb

SIU Investigator

Chubb Benefits, a Chubb Company, is seeking an SIU Investigator to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 100 years. Come join our team of hard-working, talented professionals!

The SIU Investigator will be a key member of the SIU investigative team. This individual will work with Chubb Benefits' Claims Department and existing SIU staff to identify and combat instances of insurance fraud. The Investigator will work collaboratively with the Claims Department and Legal to quickly identify and combat potential fraud in a business environment that values speed and service, allowing us to quickly process and pay legitimate claims for our policyholders. This individual will report to the leader of the SIU Department.

Major responsibilities include managing SIU investigations and providing frequent communication on ongoing investigations, managing investigative workflow and prioritizing incoming and pending caseload, working collaboratively with Chubb Benefits' Claims Department to develop individual investigative strategies to combat claim fraud in an efficient and effective manner for each case, developing and maintaining relationships with, and providing timely guidance and advice to, business partners, documenting all case activity timely and in compliance with local regulations, assuring all reporting to both internal management and state insurance departments is completed timely and in accordance with state and local regulations, assisting in the preparation of responses to regulatory inquiries, complaints, and audits, conducting direct telephonic interviews with policyholders, and other parties associated with claims or policies, developing timely investigative plans to address identified suspicious activity relevant to potential intentional misrepresentation, and reporting and escalating issues and developments as required.

Qualifications include an Associate's or Bachelor's degree in Criminal Justice or a related field, or five years of insurance claims investigation experience or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigative experience involving economic or insurance fraud related matters. Demonstrated understanding of the accident and health, and life insurance regulatory environment including HIPAA, GLBA, and other applicable privacy and data security regulations, strong analytical and technical skills in using data analytics and a deep understanding of insurance claims and fraud issues, demonstrated ability to develop relationships with business partners across the organization, ability to consistently execute and deliver results, ability to manage multiple cases in a dynamic business environment, and strong knowledge of MS Project, Excel, PowerPoint Word; and other research tools. Bilingual English / French proficiency preferred.

The pay range for the role is $57,000 to $83,000. The specific offer will depend on an applicant's 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.

Chubb
Vacancy posted 3 days ago
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