Leader, Special Investigations Unit (SIU) Transformation

JOB DESCRIPTION

ABOUT THE NORTH AMERICA LEGAL AND COMPLIANCE TEAM:

We seek highly motivated individuals to join our team who exhibit the best-in-class competencies listed below and embody the Chubb Legal and Compliance culture.


* We deliver high quality work product, services and solutions that demonstrate understanding of the needs and requirements of our business partners and support achievement of team goals.


* We adapt to changing business needs and environments through a proactive, flexible approach that achieves results and strikes the proper balance among all constituencies.


* We demonstrate character, integrity and professionalism, both within a team environment in Legal and Compliance and in fulfilling our responsibilities to our business partners.


* We build collaborative, trusting relationships with team members and business partners through superior communication skills, empathy and respect.


* We independently manage work responsibilities through commitment, dedication and accountability, and display an on-going commitment to self-improvement.

KEY OBJECTIVE:

The Leader of SIU Transformation will lead efforts to update and modernize Combined's SIU Department.

This individual will work with Combined's Claims Department and existing SIU staff to identify and combat instances of insurance fraud.

The Leader will work collaboratively with the Claims Department to develop new ways 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 Chief Compliance Officer.

MAJOR RESPONSIBILITIES:


* Work with the Chief Compliance Officer to develop and execute strategy.


* In coordination with the Legal Department and Chief Compliance Officer, assist the business in complying with regulatory requirements related to claim fraud investigation and reporting.


* Develop new tools and strategies to combat emerging insurance fraud risks including the risks associated with the use of AI to perpetrate insurance fraud.


* Develop new processes and tools to improve fraud detection while supporting efforts to streamline the claims adjudication process, allowing the Company to quickly pay all legitimate claims.


* Manage routine and escalated regulatory interactions and communications including collaboration with state insurance departments and law enforcement.


* Work collaboratively with Combined's Claims Department to develop new processes and strategies to combat claims fraud.


* Train and educate claims staff and other stakeholders on emerging trends in insurance fraud.


* Develop and maintain relationships with, and provide timely guidance and advice to, business partners.


* Assist in SIU reporting to both Combined management and state insurance departments.


* Assist in the preparation of responses to regulatory inquiries, co...