Job Abstract

Who Are We?

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

Target Openings

What Is the Opportunity?

What Will You Do?

• ESSENTIAL FUNCTIONS
• Analyzes and summarizes highly technical information related to multiple complex case investigations with regional and national implications.
• Makes key decisions regarding the structuring and conduction of major case investigations involving multiple claims and/or organized fraud ring activity with regional and national impact.
• Proactively uses analytical skills to identify potential areas of organized fraud activity or identify areas of vulnerability to fraud to develop investigative plans and/or solutions.
• (Assists in forecasting needs from emerging trends in the major case and/or organized fraud arena in local area. (e.g., National Insurance Crime Bureau (NICB) and industry alerts, leads from lines of business, etc.).
• Conducts thorough insurance field investigations while managing resources with a focus on uncovering all potentially fraudulent aspects of claims.
• Conducts technical training for investigative staff to build knowledge base in major case and/or fraud ring identification and investigative techniques.
• Applies the techniques of critical thinking to prioritizes and develop investigations that have complex allegations and/or significantly financial impact to multiple claims and/or organized ring activity spanning across multiple lines of business and potentially across several states.
• Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations.
• Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
• Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
• Serves as the subject matter expert (liaison) on fraud (medical and non-medical) to business and industry partners.
• Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
• Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
• Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau.
• Reviews, understands and applies all applicable statutes: local, state and federal to ensure duties and assignments are carried out within the requirements of applicable law and local office expectations.
• Identifies and addresses investigative priorities through strategic partnerships.
• Prepares and conducts technical training in detecting and applying techniques to multiple complex cases.
• Testifies to findings.
• May conduct missed opportunity reviews of claim files as needed (e.g., by line of business, by emerging trends, etc.).
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

• PREFERRED JOB SPECIFIC TECHNICAL SKILLS AND COMPETENCIES
• Analytical skills and ability to make deductions; logical and sequential thinker. - Advanced
• Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process - Advanced
• Effective business communication skills (Written & Verbal) - Advanced
• Computer literate; database, Internet and social media proficient - Advanced
• Interviewing skills - Advanced
• Computer literate; database and internet emerging social media use/search proficiency. - Advanced
• Conflict management skills to deal with crisis situations, hostile witnesses, etc. -Advanced
• Must be a self-motivated individual - Intermediate
• Excels at working independently, while making decisions to successfully pursue medical and non-medical insurance fraud through establishing significant facts while preserving material that leads to the resolution of the investigation.
• - Intermediate
• Knowledge of available resources (internal and external) to assist in investigations- Advance
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products. - Intermediate
• Time management and accurate record keeping - Intermediate
• Effective business communication skills (Written & Verbal) - Advanced
• -Strong case management skills and the ability to manage your own work independently. - Intermediate
• Adapt to changes in process and shifting priorities - Intermediate
• Must take ownership/initiative; significant planning and goal setting skills required - Intermediate
• Presentation and training skills. Intermediate
• Understanding of claim best practices - Intermediate
• Leadership, including delegation and ability to get work done through others- Intermediate
• Influence and conflict management skills - Intermediate

What is a Must Have?

• Candidate must meet NYS Department of Financial Services Regulation 95 requirements for SIU Investigators:
• An Associates or Bachelor's degree in Criminal Justice or a related field; or
• Five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or
• Seven years of professional investigation experience involving economic or insurance related matters; or
• An authorized medical professional to evaluate medical related claims.
• Valid driver's license required.

What Is in It for You?

• Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
• Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
• Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
• Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
• Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

Employment Practices

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.