SIU Investigator - Workers Compensation Claims: Unspecified

For more than 125 years, the Chubb Group of Insurance Companies has been delivering

exceptional property and casualty insurance products and services to businesses and

individuals around the world.

Today, we are the 11th largest property and casualty insurer in the United States and

have a worldwide network of some 120 offices in 28 countries staffed by 10,600

employees. The Chubb Corporation reported $50.6 billion in assets and $14.1 billion in

revenues in 2007. According to Fortune magazine, Chubb is the 176th largest U.S.-based

corporation. The magazine also includes Chubb in its list of “ America ’s Most Admired

Companies.” Forbes listed Chubb as one of America ’s 400 Best Big Companies.

Chubb has maintained its reputation and financial stability with underwriting expertise, unparalleled customer service, unique industry-specific specialization and a deep respect for all of our employees.

Currently, Chubb is seeking an SIU Investigator - Workers Compensation Claimsfor the Los Angeles, CA office.

Position Duties and Responsibilities:

As a critical part of the Worker’s Compensation Claim Department, 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, this position is responsible for:
- Collaborating and communicating with the following during the investigation: Claim Department, Claim Operations, Loss Control Department, Underwriting Departments, Agents Counsel, Insureds and/or their Legal Representatives, National Fraud Manager, Law Enforcement, Regulatory Agencies, and Industry Anti-Fraud Organizations
- Developing and maintaining excellent relationships with all of the above
- Ensuring strong customer service and relations at all times
- 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


Knowledge & Skills:

- Strong expertise in suspect claim identification and handling
- High level of acumen in the areas of investigation, listening, strategic/analytical thinking, problem solving, and innovative thinking
- Strong knowledge of general industry trends and legislative activities in regard to 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; success with being a positive “face” to customers; ability to investigate through relationships; acumen to build and maintain successful relationships with internal colleagues as well as local law enforcement, attorney general employees, and insurance bureaus
- Highly proficient collaboration expertise- ability to work with a diverse team of internal and external colleagues to successfully complete an investigation and provide superior customer service
- Desire and acumen for training and influencing others in respect to the execution of an investigation and how to identify fraud proactively: Examiners, Underwriters, Producers, Customers, Loss Control, etc.
- Excellent verbal and written communication skills
- Ability and desire to work with confidence, autonomy, initiative, and ambition
- High level of dependability, accountability, and integrity
- Some travel required in the Southern California area.
- College degree preferred
- Law enforcement experience a plus; prior investigator or claims background a plus
-Company car provided.

Chubb prides itself on the ability to provide all employees with an extraordinary work environment which promotes teamwork, diversity and incentives for those who exceed expectations. Chubb has been recognized as one of the top 50 companies for diversity by DiversityInc magazine, one of America ’s most admired companies by Forbes, and one of the top 100 companies to work for by Fortune.

Chubb offers the industries best benefits with programs that go above and beyond the normal standards. These programs include profit sharing, aggressive performance bonuses, pension plans and one of the best “promote from within” programs in the industry.

All interested applicants must apply online at http://www.chubb.apply2jobs.com/index.cfm?fuseaction=mExternal.showJob&RID=7102&CurrentPage=1