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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong analytical and problem-solving skills to conduct thorough insurance investigations, applying knowledge of insurance operations and legal statutes. Capable of managing complex cases independently while collaborating effectively with various stakeholders.
Highest-signal resume keywords
Analytical SkillsCase ManagementInsurance Claims InvestigationKnowledge of Insurance ProductsData Gathering and Visualization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Investigative TechniquesEvidence CollectionEvidence InterpretationFraud DetectionInsurance Operations Knowledge
Soft Skills
Critical ThinkingConflict ManagementInfluence SkillsProblem-SolvingCollaboration
Tools & Technologies
Data Visualization SoftwareArtificial Intelligence Tooling
Certifications & Qualifications
Bachelor’s Degree in Actuarial SciencesBachelor’s Degree in Criminal JusticeBachelor’s Degree in Finance
Industry Keywords
Commercial LinesPersonal LinesWorkers CompensationLocal StatutesFederal Statutes
About the role
Key responsibilities & impact- Conduct insurance investigations and perform applicable database searches to uncover potentially fraudulent aspects of claims
- Collaborate with analytics and major case teams on specialized investigative areas, including Medical, Cyber, Cargo, and Fire Motive & Opportunity
- Analyze, monitor, and summarize technical information into actionable investigative strategies
- Apply critical thinking and reasoning to resolve complex problems and reach logical conclusions
- Maintain contact with business partners, customers, and external resources throughout investigations
- Liaise with claim, legal, underwriting, public officials, and law enforcement partners
- Serve as a fraud liaison to business and industry partners
- Learn and apply rules of evidence, evidence collection, and evidence interpretation
- Develop understanding of Local, State, and Federal statutes and conduct investigations within applicable law
- Assist with potential insurance fraud prosecution cases
- Submit questionable claims to the National Insurance Crime Bureau
- Perform other duties as assigned
Requirements
What you’ll need- Analytical and problem-solving skills for interpreting information and applying investigative techniques
- Strong case management skills and ability to work independently
- Ability to work in a high-volume, fast-paced environment while managing shifting priorities
- Influence and conflict management skills
- Foundational knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products
- Bachelor’s Degree in Actuarial Sciences, Criminal Justice or Finance
- Associate’s or Bachelor’s degree in criminal justice or a related field, or five years of insurance claims investigation experience, or professional investigation experience with law enforcement agencies
- Experience with data gathering and visualization platforms/software
- Familiarity with artificial intelligence tooling
Benefits
Comp & perks- Performance-based cash incentive awards
- Health insurance from the first day of employment for employees and eligible family members
- 401(k) dollar-for-dollar matching up to the first 5% of eligible pay
- Paying it Forward Savings Program with annual 401(k) contributions for eligible student loan payments
- Pension Plan 100% funded by Travelers
- Minimum of 20 days Paid Time Off annually
- Nine paid company Holidays
- Wellness program with tools, discounts, resources, and caregiving support
- Free professional counseling services, health coaching, and mental health resources
- Matching Gift and Volunteer Rewards program
