SIU Sr. Investigator

Saved job description

Company Details

"We provide a foundation of stability and predictability that gives employees the confidence to succeed." 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, we’ve 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 $15 billion.Today the Berkley brand comprises 60 businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by Chairman, President and Chief Executive Officer, W. Robert Berkley, Jr., W. R. Berkley Corporation is well positioned for long-term success and future growth.

The Company is an equal employment opportunity employer.

Responsibilities

The SIU Senior Investigator leads and executes thorough, multifaceted, and highly complex investigations involving suspected insurance fraud, particularly within commercial lines. This role manages major case-level files, develops tailored investigative strategies, and ensures all investigations meet regulatory and evidentiary standards.

Evaluate sophisticated commercial and personal lines claim scenarios to identify patterns, inconsistencies, and emerging fraud trends requiring major case handling.

Conduct comprehensive interviews and gather, examine, and interpret evidence from multiple internal and external sources, with emphasis on commercial property, casualty, auto, and liability exposures.

Utilize advanced analytical reasoning to assess the extent and financial impact of suspected fraudulent activity, including complex commercial claim structures, multi‑party losses, and layered coverages.

Coordinate with specialized vendors, forensic experts, and intelligence resources to support complex investigative needs, particularly those involving commercial risk profiles and higher‑severity losses.

Serve as the primary liaison with state fraud bureaus, NICB, law enforcement, and prosecutors when cases present indicators of criminal activity or organized fraud schemes affecting commercial policyholders or business operations.

Prepare investigative summaries and present findings suitable for regulatory referral, legal review, and support of civil or criminal proceedings involving commercial claim fraud.

Identify systemic vulnerabilities and fraud trends impacting commercial lines portfolios and communicate insights to SIU and claims leadership.

Mentor claims personnel on fraud indicators, investigative best practices, and nuances specific to commercial lines underwriting, coverages, and loss patterns.

Participate in the development and delivery of anti‑fraud training, including curriculum tailored to commercial lines exposures, fraud schemes, and industry‑specific risks.

Participate in decision-making discussions with Company personnel on cases worked and resolution of investigative results.

Provide effective technical advice on SIU-related investigative issues and communicate industry data, trends, government, and legal updates.

Qualifications

7 or more years of prior SIU experience handling multi-line claims with a focus on commercial lines.

Knowledge of basic insurance principles pertaining to claims processes and procedures.

Knowledge of good faith claims practices.

Demonstrated knowledge of investigative methods and applicable laws, rules, and regulations involving insurance fraud.

Knowledge of privacy regulations and compliance requirements.

Proficiency with MS Office products.

Ability to easily adapt to new or changing situations and priorities.

Ability to be flexible and multi-task.

Dedication 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.

Strong work ethic with a positive attitude.

Excellent verbal and written communication skills.

Education Requirement

Bachelor’s Degree preferred.

Completion of one or more of the following designations: CIFI, FCLS, FCLA, and/or CFE.

Additional Company Details

We do not accept unsolicited resumes from third party recruiting agencies or firms.

Sponsorship Details

Sponsorship not Offered for this Role