• Job Description

  Req#: R2313450

  You are a driven and motivated problem solver ready to pursue meaningful work. You strive to make an impact every day & not only at work, but in your personal life and community too. If that sounds like you, then you've landed in the right place.

  We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU.) This position will cover the New York Metropolitan area. Ideally the candidate will either reside in the New York Metropolitan area or reside within a reasonable driving distance to it. The ideal candidate for this opportunity will spend 70% of their time traveling within their assigned region to visit loss sites, interview witnesses, conduct recorded statements, take photos, and inspect physical evidence. SIU Investigators work in partnership with claim handlers across all lines of business to investigate potentially fraudulent or suspicious claims. The Field Investigators are the “eyes and ears” of the SIU on the ground, performing investigations in order to provide information to claim handlers which will assist in the adjudication of the claim. The mission of the Special Investigations Unit (SIU) is to contribute to claims accuracy by building fraud awareness and investigating questionable claims. This position will report to the SIU Manager and will be responsible for conducting thorough, timely, efficient, and impartial investigations to support the accurate resolution of insurance claims by the Company.

  Responsibilities:

  • This SIU Investigator will reside in the field and will be responsible for assignments in the New York Metropolitan region.

  • Assignments may include investigations directly referred by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement

  • The investigator is expected to have face to face interaction with parties to a loss, including insured, claimants, witnesses, experts, and other professionals on a routine basis. Excellent interpersonal, communication and interview skills are required.

  • Investigative assignments may include claims with identified suspicious loss indictors, definable inconsistencies, or those which otherwise require a high level investigative skill and/or local in person presence.

  • Effective time management skills, proactive execution of investigative plans, and flexibility are necessary to ensure the effectiveness of this position.

  • The investigator must understand and exhibit appropriate investigative behaviors and methods while handling all aspects of a claim under investigation, including development of the facts, due diligence around evidence collection and interviews.

  • The Investigator must be able to clearly and effectively communicate investigative findings in writing and in discussions with Claim and SIU personnel.

  • The Investigator will also be responsible for understanding fraud trends within his or her area of responsibility and leverage knowledge gained to SIU analytical resources.

  • Independently complete investigations in accordance with The Hartford’s core performance values and best practices with minimal direction.

  • Prepare and submit investigative reports detailing and documenting all phases of an investigation to assist in the resolution of the claim.

  • Recognize intelligence opportunities through active investigations and shares this information within SIU.

  • Interface with the SIU Community and Law Enforcement.

  • Participate in industry meetings and is able to effectively share and gather significant information. The Investigator must be able to liaison with industry peers and where necessary, interface appropriately with law enforcement per prescribed jurisdictional requirements.

  • Effectively communicate with claim handlers to understand the facts and circumstances associated with the loss, policy considerations, and other pertinent issues to design effective investigative plans; obtain the critical facts and evidence and ensure that all communications are timely. The Investigator should identify opportunities to schedule roundtable meetings to discuss evidence development and solicit feedback.

  • Maintain a clear understanding of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting as well as a general knowledge of legal principles, civil and criminal, pertinent to the investigation of claim activity.

  • Continually enhance investigative skills and understanding of emerging issues impacting property and casualty and group benefit claims.

  • Provide support to claims partners and other departments within the Company, which may include identifying training needs; participation in developing and presenting training and mentoring of external business partners and internal staff.

  QUALIFICATIONS:

  • Bachelor’s Degree preferred but not required.

  • Minimum of 10 years of criminal investigation with law enforcement agencies or 5 years as a senior claim handler or 5 years as a Special Investigator with demonstrated technical knowledge.

  • Prior experience with Medical Fraud is highly desirable.

  • Proven knowledge and investigative experience in the investigation of injury claims on the part of insureds, claimants, and medical providers.

  • Proven track record of high level performance in investigations or claim area.

  • Solid understanding of SIU or relevant claim processes, practices, and applicable laws and regulations strongly preferred.

  • Designations in CIFI, FCLS or FCLA are preferred.

  • Strong interviewing and communication skills (verbal and written).

  • Strong critical thinking and analytical skills; ability to make deductions; logical and sequential thinker.

  • Excellent written and verbal communication and diplomacy skills, inspiring confidence among main customers.

  WHAT ELSE CAN YOU TELL ME?

  • The SIU Investigator is a work from home position and will require 70% travel within the assigned territory. Ideally, the Special Investigator for this opportunity will reside in the general vicinity of the previously described area.

  • A cell phone and a wireless laptop is provided for this opportunity.

  • A company car will be provided, and a valid driver’s license is required

  Compensation

  The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

  $81,040 - $121,560

  Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

  About Us | Culture & Employee Insights | Diversity, Equity and Inclusion | Benefits

  SIU Investigator - CF08BE

• About the company

  The Hartford Financial Services Group, Inc., usually known as The Hartford, is a United States-based investment and insurance company.

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