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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 analytical skills to identify fraudulent claims while adhering to legal statutes. Proficient in case management and maintaining effective communication with various stakeholders throughout the investigative process.
Highest-signal resume keywords
Insurance InvestigationsAnalytical SkillsCase ManagementKnowledge of Insurance OperationsCritical Thinking
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 DetectionDatabase SearchesEvidence CollectionLegal Statutes ApplicationInsurance Claim Analysis
Soft Skills
Problem-SolvingInfluence SkillsConflict ManagementAdaptabilityCommunication Skills
Tools & Technologies
AI ToolsDigital Tools
Industry Keywords
Commercial LinesPersonal LinesWorkers CompensationNational Insurance Crime BureauFast Paced Environment
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 reason through 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 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 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 of 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
- Must reside in or near Sacramento
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 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
- Mental health program with free professional counseling, health coaching, and other resources
- Matching Gift and Volunteer Rewards program
- Performance-based cash incentive awards