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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting insurance investigations and applying critical thinking to analyze complex claims. Proficient in managing casework independently while adhering to legal and regulatory standards.
Highest-signal resume keywords
Insurance InvestigationsAnalytical SkillsCase ManagementKnowledge of Insurance OperationsConflict Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Fraud AnalysisEvidence CollectionTechnical Information SummarizationDatabase SearchesRegulatory Compliance
Soft Skills
Critical ThinkingProblem-SolvingInfluence SkillsCommunication Skills
Tools & Technologies
AI ToolsDigital Tools
Industry Keywords
Insurance ClaimsUnderwritingCommercial LinesPersonal LinesWorkers Compensation
About the role
Key responsibilities & impact- Conduct insurance investigations, including applicable database searches, to uncover potentially fraudulent aspects of claims
- Engage periodically in specialized investigative areas, including Medical, Cyber, Cargo, and Fire Motive & Opportunity
- Analyze, monitor, and summarize technical information into actionable investigative strategies
- Apply critical thinking to dismantle complex problems and reach logical conclusions
- Maintain contact with business partners, customers, and external resources throughout investigations
- Liaise with claim, legal, underwriting partners, public officials, law enforcement officers, and others
- Serve as subject matter expert on fraud to business and industry partners
- Apply rules of evidence and determine evidence value, collection, and interpretation
- Apply local, state, and federal statutes to conduct compliant investigations
- Identify cases for potential insurance fraud prosecution and submit questionable claims to the National Insurance Crime Bureau
- Adapt to new technology implementations, system upgrades, and digital tool rollouts, particularly AI tools
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's Degree
- Two years of investigative experience or a minimum of three years insurance claim, underwriting, or legal related experience
- Analytical and problem-solving skills
- Strong case management skills and ability to manage work independently
- Ability to work in a high volume, fast paced environment managing multiple shifting priorities
- Influence and conflict management skills
- Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products
- Must live or reside in LA County, Orange County, or Riverside County
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 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 and health coaching
- Matching Gift and Volunteer Rewards program