Special Investigations Unit

Special Investigations Unit

Requirements

• Bachelor’s Degree preferred
• Minimum of 3 years special investigation insurance claims experience and/or investigative law enforcement experience
• Solid understanding of SIU or relevant claim processes, practices, and applicable laws and regulations strongly preferred
• CIFI, FCLS or FCLA designations are strongly preferred
• Strong interviewing and communication skills (verbal and written)
• The ability to work well independently and in a team environment
• Consistent high level of performance and achievement over career span
• Strong critical thinking and analytical skills; ability to make deductions; logical and sequential thinker
• Excellent written and verbal communication and diplomacy skills, inspiring confidence among main customers

Responsibilities

• This SIU Investigator will be responsible for assignments in Central California.
• Assignments may include investigations directly referred by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement.
• The investigator is expected to have face to face interaction with parties to a loss, including insureds, claimants, witnesses, experts, and other professionals on a routine basis.
• Investigative assignments may include claims with identified suspicious loss indicators, definable inconsistencies, or those which otherwise require a high-level of investigative skills and/or local in person presence.
• Effective time management skills, proactive execution of investigative plans, and flexibility are necessary to ensure the effectiveness of this position.
• The investigator must understand and exhibit appropriate investigative behaviors and methods while handling all aspects of a claim under investigation, including development of the facts, due diligence around evidence collection and interviews.
• The Investigator must be able to communicate investigative findings clearly and effectively in writing and in discussions with Claim and SIU personnel.
• The Investigator will also be responsible for understanding fraud trends within their area of responsibility and leverage knowledge gained to SIU analytical resources.
• Independently complete investigations in accordance with The Hartford’s core performance values and best practices with minimal direction.
• Prepare and submit investigative reports detailing and documenting all phases of an investigation to assist in the resolution of the claim.
• Recognize intelligence opportunities through active investigations and shares this information within SIU.
• Interface with the SIU Community and Law Enforcement.
• Participate in industry meetings and can effectively share and gather significant information. The Investigator must be able to liaison with industry peers and where necessary, interface appropriately with law enforcement per prescribed jurisdictional requirements.
• Effectively communicate with claim handlers to understand the facts and circumstances associated with the loss, policy considerations, and other pertinent issues to design effective investigative plans; obtain the critical facts and evidence and ensure that all communications are timely. The Investigator should identify opportunities to schedule roundtable meetings to discuss evidence development and solicit feedback.
• Maintain a clear understanding of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting as well as a general knowledge of legal principles, civil and criminal, pertinent to the investigation of claim activity.
• Continually enhance investigative skills and understanding of emerging issues impacting Property, Casualty and Group Benefit claims.
• Provide support to claims partners and other departments within the Company, which may include identifying training needs; participation in the development and presentation of training and mentoring of business partners and internal staff.

Preferred Qualifications

• Bachelor’s Degree preferred
• CIFI, FCLS or FCLA designations are strongly preferred