SIU Investigative Analyst

JOB DESCRIPTION

JOB SUMMARY:
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
o Enter all referrals and related documentation into the SIU database in a timely and accurate manner.
o Ensure data integrity and completeness for each referral record.
• Investigative Support
o Assist SIU Investigators with case development, including conducting LexisNexis, ISO ClaimSearch, and other database inquiries.
o Retrieve and organize background information to support investigations and reporting requirements.
• Rescission Processing
o Prepare and complete rescission requests, ensuring all supporting documentation is accurate, complete, and filed per internal procedures.
• Regulatory Reporting
o Submit required fraud referrals and case updates to State Departments of Insurance (DOI) in compliance with regulatory timelines and formatting standards.
o Utilize data and information from investigator reports to complete DOI submissions.
• Predictive Model Review
o Analyze system-generated alerts from predictive or AI-driven fraud models to identify patterns and potential concerns.
o Collaborate with investigators to refine detection criteria and identify model improvement opportunities.
• Referral Assignment
o Assist with the triage and assignment of referrals to SIU investigators based on workload, expertise, and line of business.
o 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

QUALIFICATIONS:
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ABOUT US

OUR BENEFITS

As a Chubb corporate employee, you have access to one of the most comprehensive benefit plans in the business, designed to meet your needs and help you reach your financial goals.

More details can be found here.

Chubb is committed to supporting its employees with a comprehensive compensation package that is appropriate in the market where they work.

Below are several of the many benefits we offer our employees:


* Health insurance


* Dental insurance


* Tuition reimbursement


* A company-match 401(k) plan


* Disability insurance


* Life insurance


* Employee referral bonuses

ABOUT COMBINED INSURANCE

Combined Insurance Company of America is a Chubb company and a leading provider of supplemental accident, health, disability, and life insurance p...