{"id":2754709,"url":"https://alion.io/job/cna-siu-senior-consultant","title":"SIU Senior Consultant","company":{"id":2456,"name":"CNA","domain":"cna.com","url":"https://alion.io/company/cna-insurance","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":97,"open_postings":9,"ghost_share":0,"stale_share":0.111,"repost_share":0,"time_to_fill_p50_days":42,"computed_at":"2026-10-31T05:58:55Z"}},"role":"Legal","role_family":"Legal","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Diego, United States","Los Angeles, United States","Irvine, United States","United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":72000,"max":141000,"currency":"USD","period":"year","gross":null,"usd_annual":141000},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-10-16T00:00:00Z","employer_posted_date":"2026-10-16","last_verified_at":"2026-10-31T21:36:21Z","board_verified":true,"closed_at":null,"days_open":16,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":16},"description":"You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.\nUnder minimal direction, initiates and manages suspected provider fraud investigations (medical, legal, etc.) involving the highest complexity matters specifically within California. This role requires knowledge of complex fraud schemes and emerging trends, a solid understanding of law enforcement processes and reporting requirements, and the ability to testify credibly when called upon to do so. The investigator should possess solid analytical skills and have an in-depth knowledge of the fraud schemes prevalent in California, as well as a working knowledge of state regulations, B&P Codes, CPT Codes, and other applicable tools necessary to investigate fraud. Preferably, the candidate also possesses a strong knowledge of Qui Tam litigation, lien consolidations, and other civil remedies that may be employed. Provides advice, direction, and support to technical claim team and counsel on the detection, investigation, and litigation of suspected claims.This position works from our office in a hybrid capacity from one of our CA offices in Walnut Creek, Los Angeles, Brea, Irvine or San Diego.\nJOB DESCRIPTION:\nEssential Duties & Responsibilities\nPerforms a combination of duties in accordance with departmental guidelines:\nLeads the detailed analysis and completion of thorough and timely investigations of suspected claim fraud by following Best Practice Guidelines and collaborating with insureds, claimants, witnesses and experts.\nDevelops and executes investigation strategy either independently or in collaboration with claim professionals, counsel, experts, insureds, and other stakeholders.\nManages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field.\nMaintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions.\nMakes recommendations for claim resolution by presenting findings and proposing solutions of moderate to complex scope.\nIdentifies opportunities and participates in the design and implementation of process or procedural improvements.\nLeads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring lower SIU staff.\nLeads or directs the preparation of cases for presentation to outside agencies,; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters.\nContinuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations.\nReporting Relationship\nTypically Manager or Director\nSkills, Knowledge and Abilities\nAdvanced knowledge of property and casualty claim handling practices\nSuperior or expert technical knowledge of practices and techniques related to investigations and fact finding\nExcellent interpersonal, oral, and written communication skills; ability to synthesize and communicate complex issues to all levels within the organization\nExcellent ability to interact and collaborate with internal and external business partners, including outside agencies\nProven ability to work independently, exercise good judgment, make sound business decisions, and develop others\nHighly organized and detail oriented with strong time management skills\nProven ability to analyze highly complex, ambiguous problems and to develop and implement effective solutions\nProficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques\nAbility to lead change while valuing diverse opinions and ideas\nAbility to implement proactive, long term strategies in support of business objectives.\nEducation and Experience\nBachelor’s degree or equivalent professional experience; advanced degree highly desired.\nMinimum of eight (8) years of experience conducting or directing investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field.\nProfessional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar). \n#LI-Hybrid\nIn certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia,California, Colorado, Connecticut, Illinois,Maryland, Massachusetts,New York and Washington, the national base pay range for this job level is$72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.\nCNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.\nCNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. 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