Utica Mutual Insurance Company
Special Investigator - Claims Special Investigation Unit (hybrid)
Utica Mutual Insurance Company, Hartford, New York, United States
Job Category : Claims
Requisition Number : SPECI006605
Apply now
Posted : January 8, 2026
Full-Time
Hybrid
Locations Showing 1 location
Home Office New Hartford, NY, USA
At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier.
Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago.
This role may be performed hybrid to our office in New Hartford, NY; Buffalo, NY; or Charlotte, NC.
What you will do
Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control.
High degree of integrity and confidentiality required handling information that is considered personal and confidential.
Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance.
Customer service and relationship/team building by maintaining contact during the course of investigation with the company’s claim service, and underwriting departments.
Encourages and participates in open communication with all Utica Nationalin an effort to make claims operations more efficient and effective.
Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk.
Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups:policyholders, claimants, sales, and attorneys‑at‑law.
Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts.
Testifies in civil and criminal courts.
Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses.
Additional Responsibilities
May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager.
May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager.
Participates in professional organizations.
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
Assist in security issues involving company personnel and fraud matters.
Assist Law Enforcement agencies involving requests for information and documentation on criminal matters.
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
Performs other duties as assigned.
Conforms with all corporate policies and procedures.
Education
Bachelor’s degree in criminal justice or a related field, and/ or equivalent experience.
SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses.
Should obtain SCLA Silver and Gold designations.
Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work.
Experience
5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
Salary Range : $73,600-$95,000
The final salary to be paid and position within the internal salary range will take into consideration the individual’s work experience, geographic location, education, certification(s) or additional qualifications, and scope and responsibilities within the role.
Benefits
Medical and Prescription Drug Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan(Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Employee Referral Award Program
Wellness programs
Additional Information:
This position is a full time salaried, exempt (non overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
Requisition Number : SPECI006605
Apply now
Posted : January 8, 2026
Full-Time
Hybrid
Locations Showing 1 location
Home Office New Hartford, NY, USA
At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier.
Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago.
This role may be performed hybrid to our office in New Hartford, NY; Buffalo, NY; or Charlotte, NC.
What you will do
Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control.
High degree of integrity and confidentiality required handling information that is considered personal and confidential.
Ensures assigned cases are investigated and reported back to SIU Manager within prescribed time allowance.
Customer service and relationship/team building by maintaining contact during the course of investigation with the company’s claim service, and underwriting departments.
Encourages and participates in open communication with all Utica Nationalin an effort to make claims operations more efficient and effective.
Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk.
Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups:policyholders, claimants, sales, and attorneys‑at‑law.
Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts.
Testifies in civil and criminal courts.
Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses.
Additional Responsibilities
May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager.
May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager.
Participates in professional organizations.
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
Assist in security issues involving company personnel and fraud matters.
Assist Law Enforcement agencies involving requests for information and documentation on criminal matters.
Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
Performs other duties as assigned.
Conforms with all corporate policies and procedures.
Education
Bachelor’s degree in criminal justice or a related field, and/ or equivalent experience.
SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses.
Should obtain SCLA Silver and Gold designations.
Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work.
Experience
5-10 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
Salary Range : $73,600-$95,000
The final salary to be paid and position within the internal salary range will take into consideration the individual’s work experience, geographic location, education, certification(s) or additional qualifications, and scope and responsibilities within the role.
Benefits
Medical and Prescription Drug Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan(Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Employee Referral Award Program
Wellness programs
Additional Information:
This position is a full time salaried, exempt (non overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr