Workers Compensation SIU Investigator

1 week ago

Chicago, Illinois, United States Chubb Full time
Job Title: Workers Compensation SIU Field Investigator

Chubb is seeking a skilled Workers Compensation SIU Field Investigator to join our team in the State of New York. This role involves investigating Workers Compensation claims to support informed claim decisions.

Key Responsibilities:
  • Analyze first reports of loss, underlying file material, and/or underwriting file to determine if a claim is suspect or potentially fraudulent.
  • Conduct thorough investigations to gather sufficient evidence for claim handling decisions.
  • Recommend final claim actions, including substantiation of legitimate claims or denial of unjustified claims.
  • Collaborate with internal and external stakeholders, including claim departments, loss control departments, underwriting departments, agents, defense counsel, insureds, SIU managers, law enforcement, regulatory agencies, and industry anti-fraud organizations.
  • Establish strong business relationships and deliver exceptional customer service.
  • Maintain and monitor active diaries, document claim file developments, prepare investigative reports, and provide quarterly reports to SIU management.
  • Familiarize yourself with and adhere to all State fraud statutes.
  • Pursue memberships in professional anti-fraud investigative organizations and participate in associated training and events.
  • Develop and provide fraud awareness training to internal and external customers.
Qualifications:
  • Minimum 5 years of experience as an investigator with an insurance carrier, law enforcement, or the US military. Workers Compensation insurance investigation experience is a plus.
  • High-level acumen in investigation, listening, strategic/analytical thinking, problem-solving, and innovative thinking.
  • Strong knowledge of general industry trends and legislative activities regarding fraudulent claim handling, tort reform, fraud statutes, and civil/criminal procedures.
  • Clear interest in and quality execution of deeper-level investigations.
  • Strong interpersonal/relationship skills, proven ability to build and maintain excellent customer relationships in all situations.
  • Proficiency with Microsoft Outlook, Microsoft Word, and Microsoft Excel.
  • Excellent verbal and written communication skills.
Travel and Education:
  • 50% travel required.
  • College degree preferred, and prior investigative experience required. Professional insurance designations desired but not required.

Chubb offers a comprehensive benefits package, including a pay range of $78,000 to $125,500, with the specific offer dependent on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. For more information, please visit https://careers.chubb.com/global/en/north-america.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law.

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