Utica National Insurance Group · 4 days ago
Special Investigator - Claims Special Investigation Unit (hybrid)
New Hartford, NY
Full-time
Hybrid
Mid, Senior Level
$74K/yr - $95K/yr
5+ years expUtica National Insurance Group is a nationally recognized property & casualty insurance carrier with a commitment to making people feel secure and respected. The Special Investigator in the Claims Special Investigation Unit is responsible for conducting thorough investigations of suspected insurance fraud, ensuring timely reporting, and maintaining relationships with various stakeholders while upholding confidentiality and integrity.
Insurance
Hiring Manager
Halina Lotyczewski
Responsibilities
Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control
High degree of integrity and confidentiality required handling information that is considered personal and confidential
Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance
Customer service and relationship/team building by maintaining contact during the course of investigation with the company’s claim service, and underwriting departments
Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective
Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk
Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law
Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts
Testifies in civil and criminal courts
Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses
May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager
May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager
Participates in professional organizations
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company
Assist in security issues involving company personnel and fraud matters
Assist Law Enforcement agencies involving requests for information and documentation on criminal matters
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company
Performs other duties as assigned
Conforms with all corporate policies and procedures
Qualification
Required
Bachelor's degree in criminal justice or a related field, and/ or equivalent experience
5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies
High degree of integrity and confidentiality required handling information that is considered personal and confidential
Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control
Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance
Customer service and relationship/team building by maintaining contact during the course of investigation with the company's claim service, and underwriting departments
Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective
Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk
Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law
Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts
Testifies in civil and criminal courts
Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses
Conforms with all corporate policies and procedures
Preferred
SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses
Should obtain SCLA Silver and Gold designations
Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work
May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager
May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager
Participates in professional organizations
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company
Assist in security issues involving company personnel and fraud matters
Assist Law Enforcement agencies involving requests for information and documentation on criminal matters
Benefits
Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Paid Volunteer Day
Employee Referral Award Program
Wellness programs
Company
Utica National Insurance Group
Utica National Insurance Group is a Top 100, nationally recognized insurer providing personal and commercial insurance products and services, with the second-largest errors and omissions business in the United States.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kristen Martin
President and Chief Operating Officer
John Eckmair
Senior Vice President, Chief Underwriting Officer
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