Combined Insurance, is seeking an SIU Analyst to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 90 years. Come join our team of hard-working, talented professionals!
Researches, plans, organizes, and assists needed analysis with SIU Investigators to identify the possibility of fraudulent/ abusive activities or transactions, including but not limited to using fraud/ abuse referrals from other departments, trend reports, and programs designed to identify possible fraud trends, etc.
Obtains information as needed to determine if a full investigation must be performed; logs all information into the Special Investigative Unit (SIU) case management system; maintains confidential, effective, and accurate online records, databases, or filing systems that provide a quick-reference source for information on fraud investigations, policies, procedures and other department activity
Tracks the progress of the investigation, uses the information obtained from the final investigation to calculate savings and/ or restitution amount; prepares correspondence for final review; coordinates with other business units as needed
Acts as the department's customer contact, answering routine questions about department services, procedures, and policies if needed or refers questions to appropriate team members.
Coordinates details associated with ongoing investigations assisting with confidential matters and performing research for special projects as assigned
Establishes and maintains effective data in the systems, and chronological and specialized project reference files to meet current reporting needs and future enhancements; performs research and analysis to provide the business unit with timely, accurate, and meaningful information
Responsible for accurate reporting and compliance with regulatory requirements.
Works with SIU Investigators and SIU management to develop fraud awareness among employees
Participates in educational opportunities to enhance the effectiveness in fraud/ abuse investigations
Establishes and maintains effective working relationships within the department and throughout the organization
Performs other duties as required
Excellent oral, written and interpersonal communication skills to effectively interact with internal and external customers
Ability to deal with customers and business partners in a professional manner
Ability to make prompt, sound, decisions based upon analysis of complex issues
Strong attention to detail
Ability to maintain direction and professionalism in high-pressure situations
Willingness to embrace change and successfully implement new approaches and ideas
Ability to foster teamwork toward a common objective
Strong work ethic with customer centric focus
Demonstrated ability to work with minimum of supervision
Minimum of three (3) years of experience in the insurance industry
Previous SIU experience is strongly preferred
Knowledge of medical terminology and experience with claim processing and imaging systems strongly preferred
Solid working knowledge of Word, Excel and Access
Basic understanding of reporting principles and practices such as DOI, law enforcement, and other regulatory agency inquiries
Knowledge and experience with general web based data retrieval systems (i.e. Lexis/ Nexis, ISO Claims Search, etc.)
High School/ GED required, Bachelor's Degree preferred
As a Combined corporate employee, you have access to one of the most comprehensive benefit plans in the business, designed to meet your needs and help you reach your financial goals. Our Company is committed to supporting its employees with a comprehensive compensation package that is appropriate in the market where they work. Below are several of the many benefits we offer our employees:
A company-match 401(k) plan
Employee referral bonuses
ABOUT COMBINED INSURANCE
Combined Insurance is a leading provider of individual supplemental accident, disability, health and life insurance products. With a field sales force and corporate staff in excess of 5,000 people worldwide, Combined Insurance meets the growing coverage needs of policyholders around the globe. We pride ourselves on being customer-centric, people-driven, accountable, performance-minded, and ethical. We invest in our employees and take the time to focus on their development, needs and career aspirations.
Our parent company is one of the world's largest multiline property and casualty insurers. With operations in 54 countries, the Company provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients.
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At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.
Travel - No
Job Posting - Nov 2, 2017, 11:28:31 AM