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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, applying analytical and problem-solving skills to identify fraudulent claims while adhering to legal statutes. Proficient in managing case workflows independently in a fast-paced environment and liaising with various stakeholders.
Highest-signal resume keywords
Insurance InvestigationsAnalytical SkillsCase ManagementInsurance Claim 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
Investigative TechniquesDatabase SearchesEvidence AnalysisFraud DetectionStatutory Compliance
Soft Skills
Problem-SolvingInfluence SkillsAdaptability
Tools & Technologies
AI ToolsDigital Tools
Industry Keywords
Insurance FraudCommercial LinesPersonal LinesWorkers CompensationNational Insurance Crime Bureau
About the role
Key responsibilities & impact- Conduct insurance investigations, including applicable database searches, to uncover potentially fraudulent aspects of claims
- Periodically engage in specialized investigative areas, including Medical, Cyber, Cargo, and Fire Motive & Opportunity
- Analyze, monitor, and summarize technical information into actionable investigative strategies
- 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 evidence value for 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 to interpret information and facts and apply critical techniques to investigative processes
- 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 contributions toward a 401(k) account for eligible employees with student loan debt
- Pension Plan 100% funded by Travelers
- Minimum of 20 days Paid Time Off annually
- Nine paid company Holidays
- Wellness program with tools, discounts and resources supporting wellness goals and caregiving needs
- Mental health program with free professional counseling services, health coaching and other resources
- Matching Gift and Volunteer Rewards program
- Performance-based cash incentive awards
