SIU Investigator handling complex underwriting and premium fraud investigations at CNA. Collaborating with stakeholders and maintaining detailed records while ensuring compliance with best practices.
Responsibilities
Initiates and manages suspected fraudulent underwriting and insurance premium investigations.
Provides advice, direction, and support to underwriters, auditors, and other stakeholders.
Leads detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud.
Develops and executes investigation strategy independently or in collaboration with professionals.
Maintains detailed, accurate, and timely case records following established Best Practices.
Makes recommendations for resolution by presenting evidence-based findings.
Requirements
Bachelor's degree or equivalent professional experience.
Minimum of three to five years of experience conducting investigations in insurance fraud, law enforcement, civil or criminal litigation, or similar field.
Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar).
Solid knowledge of property and casualty claim handling practices.
Strong technical knowledge of practices and techniques related to investigations and fact finding.
Ability to interact and collaborate with internal and external business partners, including outside agencies.
Detail oriented with strong organization and time management skills.
Strong ability to analyze complex, ambiguous matters and develop effective solutions.
Proficiency with Microsoft Office applications and relational databases information querying techniques.
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