Casualty SIU Investigator

JOB DESCRIPTION

Casualty SIU Investigator

Our award-winning Claim organization has a current job opportunity for an SIU Investigator supporting our Casualty line of business.

Position Duties and Responsibilities:

As a critical part of the Casualty Claim discipline, this position is responsible for collaborating with internal and external colleagues 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, in-depth investigation to develop sufficient evidence to determine the claim handling decision.


* Recommend a final course of Claim action- 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 Counsel, Insured's and/or their Legal Representatives, National Fraud Manager, Law Enforcement, Regulatory Agencies, and Industry Anti-Fraud Organizations


* Developing and maintaining excellent relationships with all the above


* Strong customer service skills.


* Managing (selecting, directing, employing, and maintaining) private investigator panel of independent contractors and other vendors for quality and cost-effective results.


* 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 supervisors


* Being familiar with and appropriately adhering to fraud statutes


* Actively pursuing memberships in professional Anti-Fraud investigative organizations and participating in associated training and events offered


* Training and influencing Claim, Loss Control and Underwriting colleagues as well as Insureds to detect and prevent insurance fraud.


* Adhering to Chubb service standards, Chubb code of professional conduct, statutory regulations, and Unfair Claims Practice Acts


* Ensuring the character and reputation of an insured, claimant, or other party is positively maintained- not maligned or criticized as well as ensuring that investigations have a clear, single focused intent of uncovering and providing necessary facts to expeditiously resolve a claim in a quality manner.

QUALIFICATIONS

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ABOUT US

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 expe...