Share this Job

Field Claims Inv Sr.

Date: Jul 17, 2019

Location: Los Angeles, CA, US, 9001

Company: Wawanesa Insurance

 

Wawanesa Mutual Insurance is one of the largest property and casualty insurers in Canada with $3 billion in annual revenues and assets of more than $9 billion. Wawanesa Mutual, founded in 1896 with executive offices in Winnipeg, is the parent company of Wawanesa General, which offers property and casualty insurance in California and Oregon, and Wawanesa Life, which distributes life insurance products and services throughout Canada. With over 3,500 employees, Wawanesa proudly serves over two million policyholders through nine regional offices and 41 service offices in Canada and the United States.  Wawanesa actively gives back to organizations that strengthen communities where it operates, donating well above internationally recognized benchmarks for excellence in corporate philanthropy.

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience, advancement on a growing team.

 

Job Overview

Under limited supervision, the Senior Field Claims Investigator contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the thorough investigation of high-complexity suspicious losses and by providing a visible fraud deterrent in the assigned area of operation.

 

Job Responsibilities

  • Review referred high-complexity claim files to develop individual investigation plans, and provide clear documentation both to communicate with assigned claims personnel and preserve evidence
  • Independently conduct investigations in accordance with applicable regulations through in-person recorded interviews, scene and facility inspections, and telephone contact.
  • Identify and seek to mitigate incidental risks to the company during the investigation
  • Identify subjects for major multi-claim case development, and develop a long term investigation strategy
  • Collaborate with in-house and outside counsel and leader on developing affirmative litigation strategy or deterrent strategy
  • Liaise with law enforcement agency personnel (local, state, and federal), and have an understanding of legal limitations
  • Develop, identify and proactively pursue new leads necessary to complete a thorough investigation
  • Provide ongoing updates on the status of investigations to involved personnel, accurately advising if the subject(s) of the investigation poses any potential coverage issues, or if the issues are solely relevant to SIU
  • Compose investigation reports and advise claims staff and management of findings
  • Up to 70% travel required to conduct on-site investigations and attend court proceedings as required
  • Maintain strict confidentiality and ensure compliance with Privacy Regulations
  • Remain up-to-date with current with industry developments as they pertain to relevant legislation and investigative services
  • Oversee the training schedule through IASIU, NICB, SCFIA, CLM, or other organizations where DOI approved education takes place at least once per month
  • Provide DOI required training to claims department personnel serving as a Subject Matter Expert
  • Perform other investigative duties as assigned and with complete confidentiality

Qualifications

  • 5+ years related investigative experience
  • Effective and professional customer service skills, with an emphasis on professionally handling conflict or stressful situations
  • Excellent communication skills, both written and oral
  • Excellent investigative and analytical skills, especially in regards to comprehensive interview techniques
  • Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced, changing environment
  • Detail oriented with a high degree of accuracy
  • Advanced negotiation skills
  • Valid driver’s license with acceptable driving record
  • College /University Degree preferred, though extensive experience can substitute
  • One of the following industry certifications preferred: CFE, CFI, CIFI, CPCU, etc.
  • Position requires the ability to lift up to 10 lbs on a daily basis
  • Position requires medium to high mobility throughout area of operation to meet investigative requirements
  • Position requires the ability to drive a car during the work day and may require frequent extended periods of sitting behind the wheel 
  • Ability to manage a flexible schedule with minimal oversight or administrative support while maintaining high standards of productivity. May require work on Saturday (with following Monday or flexible day off during the week), and managing case load effectively within or as closely as possible to a standard 37.5 hour work week.
  • Home based, remote position requiring 60-70% of time traveling and performing field work in area of operation

 

Wawanesa General Insurance Company is an equal opportunity employer and is committed to a diverse workforce. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual’s protected status: race/ethnicity, color, religion, creed, sex/gender, sexual orientation, gender identity/expression, marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status.  If you are a qualified individual with a disability, you have the right to request a reasonable accommodation to assist in the application process.  You may request reasonable accommodations by calling the Human Resources department at 858-874-5404 or emailing Human Resources at SD_human_resources@wawanesa.com.

 

Find similar jobs: