SIU Investigative Specialist - Long Term Disability

SIU Investigative Specialist - CF08IE

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The Investigative Specialist is a position within The Hartford’s Special Investigative Unit. We are seeking candidates that have an investigative mindset and interested in advancing their career within The Hartford. This position conducts investigations on suspicious (with red flags noted) Long Term Disability insurance claims. The Investigative Specialist specializes in formulating and implementing the most efficient and effective investigative strategies for documenting claimants’ functionality level, any unreported work activity and unreported “other income” benefits. They specialize in conducting surveillance in a strategic and cost-effective manner and manage all Group Benefit LTD referrals involving surveillance within SIU. They are also SIU liaisons for their assigned regional offices.

Job Duties Include

• Review claim referrals and determine whether they are appropriate for additional investigation. This process includes a detailed review of the claim and a wide range of background searches.
• Proactively review and identify claims that contain red flags. This could include, reviewing analytical reports; conducting database research; collecting all appropriate background information; and conducting analysis to determine if the case would warrant additional investigation.
• Specialize in formulating and implementing the most efficient and effective investigative strategies for documenting claimants’ functionality level to assist the claims staff in determining if claimants meet the contractual definition of disability and determining if claimants have any unreported work activity or unreported “other income” benefits. This includes communicating with claim handlers to understand the facts and circumstances associated with the loss and reported medical condition(s), policy considerations, and other pertinent issues to design an effective investigative plan. The Investigative Specialist will identify opportunities to schedule roundtable meetings to discuss evidence development and solicit feedback.
• Prepare and submit investigative reports detailing and documenting all phases of investigations to assist with the resolution of Long-Term Disability claims.
• Act as SIU liaisons with their assigned regional offices. Responsible for meeting with their assigned claim teams remotely. Required to promote fraud awareness and quality SIU referrals within their assigned regional claim offices.
• Continually enhance investigative skills and understanding of emerging issues impacting Group Benefits claims.
• Mentoring new and current SIU Investigative Specialists when needed.
  
  

Job Qualifications

• Minimum of 3 years insurance claim handling experience required. Long Term Disability claim experience preferred
• Claims investigative experience required or an equivalent combination of education and experience
• College degree required with criminal justice emphasis preferred
• Demonstrated high level of investigative knowledge and mindset
• Solid understanding of SIU and relevant claim processes, practices and applicable laws and regulations
• Consistent high level of performance and achievement over career span
• Ability to lead without having formal authority and to work both independently and in a team environment
• Ability to manage multiple priorities in a challenging and fast-paced environment
• Strong analytical and research skills, with an investigative mindset
• Demonstrated fraud awareness and aptitude
• Effective interviewing and communication skills (written and verbal)
• Proven ability to build strong partnerships across segments and function
• Customer centricity
  
  

This role can have a Hybrid or Remote work arrangement.  Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).   Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

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:

$69,600 - $104,400

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

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