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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting insurance investigations, applying analytical and problem-solving skills to identify fraudulent claims while adhering to legal statutes. Proficient in managing cases independently and collaborating with various stakeholders to develop actionable investigative strategies.
Highest-signal resume keywords
Insurance InvestigationsAnalytical SkillsCase ManagementInsurance Claim OperationsFraud Detection
About the role
Key responsibilities & impact- Conduct insurance investigations and 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 the subject matter expert and liaison on fraud to business and industry partners
- Apply rules of evidence and determine the value of evidence to specific claims
- Apply local, state, and federal statutes to conduct investigations lawfully
- 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 while 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
Benefits
Comp & perks- Health insurance for employees and eligible family members from the first day of employment
- 401(k) dollar-for-dollar matching up to the first 5% of eligible pay, subject to an annual maximum
- 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, health coaching, and mental health resources
- Matching Gift and Volunteer Rewards program
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 ExperienceDatabase SearchesRules Of EvidenceFraud Prosecution IdentificationTechnical Information Analysis
Soft Skills
Critical ThinkingConflict ManagementInfluence SkillsAdaptabilityIndependent Work
Tools & Technologies
AI ToolsDigital Tools
Industry Keywords
Commercial LinesPersonal LinesWorkers CompensationLocal StatutesFederal Statutes