SIU Investigator

Chubb Dallas , TX 75201

Posted 5 months ago

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

As a critical part of the Workers Compensation & Casualty Claim discipline, 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 to successfully execute the above.

  • 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


  • 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

  • Travel required

  • College degree preferred

  • Law enforcement experience a plus; prior Workers Compensation & Casualty SIU investigation experience or Workers Compensation or Casualty claims background a plus

Chubb strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Chubb operates and we believe the best solutions draw upon diverse perspectives, experiences and skills. We operate in such a way where everyone, regardless of their singular background has the opportunity to contribute to our collective success.

Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Child Care Licensing Investigator

Texas Health & Human Services Commission

Posted 3 days ago

VIEW JOBS 7/14/2019 12:00:00 AM 2019-10-12T00:00 CCI Specialist I This position conducts investigations of child day care facilities subject to regulation in accordance with the Human Resource Code, Texas Family Code, Minimum Standards, and agency policies and procedures to determine whether abuse/neglect and/or noncompliance has occurred. The position interacts routinely with Texas Department of Family and Protective Services staff, representatives from various organizations, and the general public. To learn more about the position and to view a video about the job, please clickhere. WHY WORK FOR DFPS? The Texas Department of Family and Protective Services (DFPS) is responsible for protecting the unprotected — children, elderly, and people with disabilities — from abuse, neglect, and exploitation. DFPS accomplishes this responsibility by employing over 12,000 workers who live up to the agency's Mission, Vision, & Values in service to the 27 million citizens of Texas. DFPS is not only a qualifying organization for the Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments, but also offers excellent health benefits, special discounts on many products and services through the Discount Purchase Program, a lifetime monthly retirement annuity as well as Texa$aver 401(k) and 457 Programs under the Employees Retirement System of Texas. As a state-certified caseworker, you will also have an exciting opportunity to increase your base salary up to 20% in the first 18 months through our training and certification process. An additional benefit you will receive is 12 days of paid annual leave, 12 sick days, and the potential to earn up to four days of administrative leave each year. Your annual paid leave accrual increases as your tenure increases. Bilingual applicants (SPANISH/ENGLISH) are encouraged to apply. Bilingual applicants selected for this position may qualify for an increase at the point of hire after successfully passing a bilingual test. (The applicant will need to be fluent in writing/speaking in Spanish in order to receive the salary increase). Some areas of the state do not offer a financial incentive for bilingual skills depending on the labor market. Essential Job Functions: * Investigates complaints of abuse/neglect in licensed/registered and unregulated facilities. * Investigates complaints of standards violations in licensed and registered child care facilities. * Investigates complaints alleging illegal child care. * Documents findings of investigations and notifies child care providers of findings and any corrective or adverse actions being taken. * Responds to emergency complaints of abuse/neglect in licensed/registered and illegal child care operations. * Performs other duties as assigned and required to maintain unit operations. * Promotes and demonstrates appropriate respect for cultural diversity among coworkers and all work-related contacts. * Attends work regularly in accordance with agency leave policy. Knowledge Skills Abilities: * Knowledge of the Texas Family Code, Chapter 42 Human Resource Code laws and regulations relating to children and their care. * Skill in assessing risk in situations, which might result in injury or death to a child and ability to take appropriate action. * Skill in investigating and resolving child abuse/neglect allegations. * Skill in effective verbal and written communication. * Skill in effective organizational skills. * Skill in assertiveness. * Ability to identify violations of law and policies concerning child care; and to conduct interviews and gather facts. Registration or Licensure Requirements: This position requires use of the applicant's personal motor vehicle to complete job functions. Applicants for positions must have a reliable motor vehicle, and acceptable driving record for the past five years, and a current, valid Texas driver's license appropriate for the vehicle and passenger or cargo load. Applicants must provide proof of driving record and license. Initial Selection Criteria: Successful completion of any associated on-line assessment. Child Care Investigator Specialist I: Graduation from an accredited four-year college or university Child Care Investigator Specialist II: Employed as a Child Care Licensing Investigator I for 9 months AND have received Child Care Licensing Specialist Certification OR currently employed as a Child Care Investigator II OR previous experience as a Child Care Investigator II in Texas Department of Family and Protective Services. Child Care Investigator Specialist III: Employee as a Child Care Licensing Investigator II for 9 months AND have received Child Care Licensing Advanced Specialist Certification OR currently employed as a Child Care Licensing Investigator III OR previous experience as a Child Care Investigator III in Texas Department of Family and Protective Services. Child Care Investigator Specialist IV: Employed as a Child Care Licensing Investigator III for 24 months AND have received Child Care Licensing Senior Advanced Specialist Certification OR currently employed as a Child Care Licensing Investigator IV OR previous experience as a Child Care Investigator IV in Texas Department of Family and Protective Services. Additional Information: Requisition # 424777 This position may be filled at any level from a CCL Investigator I to CCL Investigator IV. Factors such as education and experience may be considered when establishing the starting salary; however, the starting salary for this position may not exceed the maximum of the pay group. Applicants for this position who are screened and selected for further consideration are required to complete on-line assessments as part of the hiring process. Applicants must complete the on-line assessments to be eligible to progress through the process and possibly receive an interview. If the applicant is not deemed a match for the position, the applicant will not be invited for an interview. Applicants must wait 6 months to re-take any assessment. As part of the assessments process, applicants receive an e-mail providing instructions on how to complete the assessments. The subject of the email is "DFPS Assessments Process Update". The assessments are web based and may be completed from any computer with internet access. The assessments are confidential and take approximately 2 to 2.5 hours to complete. Please note, credentials for the assessments may expire after five (5) days and candidates with incomplete assessments may not be moved forward in the process. This position may be in a mobile unit which means the majority of the work will be conducted using mobile technology, such as a tablet, while away from the office. Being mobile requires working independently yet still being responsive to supervision and your assigned unit. Newly-hired DFPS employees in eligible positions will be assigned a DFPS cellular phone. Preferred Experience * Child Development * Day Care and Day Care Administration Preferred Degrees * Early Childhood Development * Human Development * Early Childhood Education Preferred Qualifications * Experience conducting abuse/neglect investigations * Experience interviewing children * Experience interviewing alleged perpetrators of abuse * Experience in a regulatory role PHYSICAL REQUIREMENTS: These requirements are not exhaustive, and additional job related physical requirements may be added to these by individual agencies on an as needed basis. Corrective devices may be used to meet physical requirements. These are typical requirements; however, reasonable accommodations are possible. Physical Activities: He/she is frequently asked to stand, hear and talk; he/she is occasionally asked to climb. Physical Demands: The incumbent typically performs work that requires him/her to exert up to 20 pounds occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Visual Requirements: The incumbent must be able to see objects clearly at 20 inches or less, and at 20 or more feet. In addition, he/she must be able to adjust his/her eyes to bring objects into focus, distinguish colors, see objects in his/her peripheral vision, and see objects in three dimensions. Working Conditions: He/she typically works in a mobile environment (the majority of work is performed outside of the office environment) and is exposed occasionally to adverse environmental conditions including, but not necessarily limited to, extreme heat, wetness and humidity, chemicals, close quarters, gases and heights. Interview Requirements: Any candidate who is called to an agency for an interview must notify the interviewing agency in writing of any reasonable accommodation needed prior to the date of the interview. MOS Code: Note: There are no direct military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty, reservists, guardsmen, and veterans are encouraged to apply. For more information, see the Texas State Auditor's Military Crosswalk here. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Texas Health & Human Services Commission Dallas TX

SIU Investigator