Specialty Investigator

Ideal Candidate must reside in or near Los Angeles, CA. What Will You Do?

• Analyzes and summarizes highly technical information related to multiple complex case investigations with regional and national implications.
• Conducts thorough and timely insurance field investigations while managing resources with a focus on theft, policy coverage and contract losses with an emphasis to recover stolen property.
• Applies the techniques of critical thinking to prioritizes and develop investigations that have complex allegations and/or significantly financial impact to multiple claims and/or organized ring activity spanning across multiple lines of business and potentially across several states.
• Applies applicable cargo theft statutes: local, state and federal to ensure duties and assignments are carried out within the requirements of applicable law and local office expectations.
• Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
• Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
• Serves as the subject matter expert (liaison) on transportation theft to business and industry partners.
• Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
• Establishes and maintains liaison network with public officials, law enforcement officers and others to obtain assistance in conducting investigations.
• Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau.
• Delivers specialized consultation services and quality risk training to customers, claim staff and underwriting including the development of service plans that focus on management controls, loss frequency and/or loss severity issues.
• Monitors the progress of services and makes recommendations to underwriting and insured in amending plans when necessary.
• Strategizes to intercept fraudulent activity by developing a network of resources within the community (e.g., local cargo task forces, district attorney offices, law enforcement agencies, insurance associations, professional associations, and community groups).
• Prepares and conducts technical training in detecting and applying techniques to multiple complex cases.
• Testifies to findings.
• Other duties as assigned.
• Perform other duties as assigned.

• Bachelor's degree preferred.
• Analytical skills and ability to make deductions; logical and sequential thinker.
  
  - Advanced
• Analytical and problem-solving skills to use and interpret information and facts as well as apply critical techniques to investigative process - Advanced
• Computer literate; database, Internet and social media proficient - Advanced
• Interviewing skills - Advanced
• -Computer literate; database and internet emerging social media use/search proficiency.
  
  - Advanced
• Conflict management skills to deal with crisis situations, hostile witnesses, etc.
  
  -Advanced
• Must be a self-motivated individual - Intermediate
• Excels at working independently, while making decisions to successfully pursue recoveries or information germane in the determination of the claim or coverage related issues.
  • Intermediate
• Knowledge of available resources (internal and external) to assist in investigations
  -Advanced
• Working level knowledge of insurance and claim operations, Commercial Lines, Personal Lines, and Workers Compensation insurance products.
  
  - Intermediate
• Time management and accurate record keeping - Intermediate
• -Strong case management skills and the ability to manage your own work independently.
  
  - Intermediate
• Adapt to changes in process and shifting priorities Intermediate
• Must take ownership/initiative; significant planning and goal setting skills required - Intermediate
• Presentation and training skills. Intermediate
• Understanding of claim best practices - Intermediate
• Leadership, including delegation and ability to get work done through others
  - Intermediate
• Influence and conflict management skills - Intermediate
• Understanding of Underwritings best practices - Intermediate
• Und…