W/C Special Investigator - (US-GA-Atlanta - 39901)

Minimum Education: Bachelors
Job Type: Full Time
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For 125 years, Chubb Corporation has been the leader in providing property and casualty insurance to individuals and businesses throughout the world. Today, with over $29 Billion in assets, Chubb ranks among the countries best in terms of financial strength.

Currently, Chubb is seeking a W/C Special Investigator to join its Atlanta, GA team.



ESSENTIAL FUNCTIONS OF JOB:
As a critical part of the Worker’s Compensation Claim Department, 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

MAJOR RESPONSIBILITIES:
- Collaborating and communicating with the following during the investigation: Claim Department, Claim Operations, Loss Control Department, Underwriting Departments, Agents Counsel, Insureds 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 Insureds 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
SKILLS AND EXPERIENCE:

- Expertise in suspect claim identification and handling
- Strong in 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
- Strong interpersonal/relationship building skills
- Team player w/ strong customer service skills
- 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





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