Job Description

Company Details

Our Company provides a state of predictability which allows brokers and agents to act with confidence.

Founded in 1967 W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.

Along the way weve been listed on the New York Stock Exchange become a Fortune 500 Company joined the S&P 500 and seen our gross written premiums exceed $10 billion.

Today the Berkley brand comprises more than 60 businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman founder and largest shareholder William. R. Berkley and our President and Chief Executive Officer W. Robert Berkley Jr. W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.

The Company is an equal employment opportunity employer.

Responsibilities

The SIU Investigator is responsible for conducting timely investigations into claims where indicators of potential fraud misrepresentation or suspicious activity exist. This role supports the organizations antifraud objectives by gathering facts evaluating information and contributing to proper claim outcomes. The SIU Investigator handles assignments of moderate complexity and collaborates with senior SIU personnel on highercomplexity matters as needed.

Key Functions/Duties of Position:

• Evaluates referred claims to determine whether suspicious circumstances are present.

• Conducts interviews reviews documentation and researches internal and external data sources to develop a factual understanding of each case.

• Maintains accurate and timely documentation of investigative findings.

• Coordinates with claims personnel throughout the investigative process.

• Completes regulatory compliance fraud referrals to state and federal agencies as well as NICB in accordance with applicable requirements.

• Supports investigative strategy development and coordinates with vendors when appropriate.

• Contributes to departmental antifraud initiatives and ongoing improvement efforts.

• Maintains consistent professional communication with internal and external partners.

• Manage multiple assignments while adhering to established guidelines expectations and timelines.

Qualifications

Education Requirement:

Bachelors Degree is preferred. Professional designations such as CIFI FCLS FCLA or CFE are beneficial but not required.

Qualifications:

• The position requires a minimum of 3 years of prior SIU experience with demonstrated proficiency in investigating multiline claims. Experience in workers compensation and/or auto claims is essential.

• Exhibit knowledge of basic insurance principles pertaining to claims processes and procedures

• Knowledge of good faith claims practices

• Demonstrate knowledge of investigative methods in regards to laws rules and regulations involving insurance fraud

• Knowledge of privacy regulations and compliance requirements

• Proficiency with MS Office products

• Easily adapts to new or changing situations and priorities

• Ability to be flexible and multi-task

• Dedicated to meeting the expectations of internal and external customers

• Strong organizational and prioritization skills

• Ability to properly handle sensitive and confidential information

• Ability to work both independently and in a team environment

• Demonstrate a strong work ethic with a positive attitude

• Excellent verbal and written communication skills

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