|
|
|
|
Claims Workers Compensation Special Investigator Job
|
| Employer Name: Chubb Group of Insurance Companies |
SpiderID: 2328039 |
| Location: Chicago, Illinois |
Date Posted: 7/1/2008 |
| Wage: |
Category: Insurance |
| Job Code: 5393 |
|
Job Description: Currently, Chubb is seeking a Claims Workers Compensation Special Investigator to join its Chicago, IL team.
This position is responsible for collaborating with internal and external colleagues to: Analyze first reports of loss, underlying file material, and/or underwriting file, to determine if claim is suspect or potentially fraudulent Conduct a complete, in-depth investigation to develop sufficient evidence to determine the claim handling decision Recommend a final course of Claim action- substantiation of legitimate claim, or denial of an unjustified claim, and/or a recommendation of further punitive action
Responsibilities: Collaborating and communicating with the following during the investigation: Claim Department, Claim Operations, Loss Control Department, Underwriting Departments, Agents Counsel, Insured’s and/or their Legal Representatives, National Fraud Manager, Law Enforcement, Regulatory Agencies, and Industry Anti-Fraud Organizations Developing and maintaining excellent relationships with all of the above Ensuring strong customer service and relations at all times Managing (selecting, directing, employing, and maintaining) private investigator panel of independent contractors and other vendors for quality and cost effective results Maintaining and monitoring an active diary, properly documenting all developments in claim file, preparing investigative reports, maintaining suspicious claim database, and preparing reports on a quarterly basis to supervisors Being familiar with and appropriately adhering to fraud statutes Actively pursuing memberships in professional anti-fraud investigative organizations and participating in associated training and events offered Training and influencing Claim, Loss Control and Underwriting colleagues as well as Insured’s to detect and prevent insurance fraud Adhering to Chubb service standards, Chubb code of professional conduct, statutory regulations, and Unfair Claims Practice Acts Ensuring the character and reputation of an insured, claimant, or other party is positively maintained- not maligned or criticized as well as ensuring that investigations have a clear, single focused intent of uncovering and providing necessary facts to expeditiously resolve a claim in a quality manner
Apply now at http://www.chubb.apply2jobs.com/index.cfm?fuseaction=mExternal.showJob&RID=5393&CurrentPage=1 or to review all openings, please visit http://www.chubb.apply2jobs.com/index.cfm
Job Requirements: Knowledge & Skills: Strong expertise in suspect claim identification and handling High level of acumen in the areas of investigation, listening, strategic/analytical thinking, problem solving, and innovative thinking Strong knowledge of general industry trends and legislative activities in regard to fraudulent claim handling, tort reform, fraud statutes, and civil/criminal procedures Clear interest in and quality execution of “deeper” level investigations Strong interpersonal/ relationship skills- proven ability to build and maintain excellent customer relationships in all situations; success with being a positive “face” to customers; ability to investigate through relationships; acumen to build and maintain successful relationships with internal colleagues as well as local law enforcement, attorney general employees, and insurance bureaus Highly proficient collaboration expertise- ability to work with a diverse team of internal and external colleagues to successfully complete an investigation and provide superior customer service Desire and acumen for training and influencing others in respect to the execution of an investigation and how to identify fraud proactively: Examiners, Underwriters, Producers, Customers, Loss Control, etc. Excellent verbal and written communication skills Ability and desire to work with confidence, autonomy, initiative, and ambition High level of dependability, accountability, and integrity Some travel required College degree preferred Law enforcement experience a plus; prior investigator or claims background a plus
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required: 2
Education Required: Bachelors
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: Anthony Dueitt |
Company Type: |
| Company: |
|
|
|
| City: Findlay |
|
| State: Ohio |
|
| Zip: 45840 |
|
Web Site: http://www.chubb.apply2jobs.com
|
|
|
|
|
|
|