Insurance Fraud Investigator, Claims Examiner, or Litigation Specialist

4 weeks ago


Syracuse, New York, United States Veracity Research Company Full time

About Veracity Research Company



Veracity Research Company (VRC) is a leading provider of insurance defense investigations, specializing in claims investigations, SIU investigations, and Vendor Management Programs. With over 29 years of experience, VRC has established a reputation for integrity and professionalism. We have a strong commitment to delivering exceptional service to our clients, which include Insurance Companies, Third Party Administrators, Self-Insured Organizations, Attorneys, Federal and State Government Agencies, and Municipalities.



We are currently seeking highly motivated and experienced professionals to join our Special Investigations Unit as part-time SIU Investigators. This work-from-home position requires travel within the designated city and state. As a SIU Investigator, you will conduct multi-line insurance investigations suspected of insurance fraud or other irregularities, obtaining in-person interviews, identifying, collecting, and preserving relevant evidence, and documenting all findings into clear, concise, and timely investigative reports.



The ideal candidate will have a minimum of 5-10 years of experience in one or more of the following areas:



  • Private Investigator / SIU Investigator
  • Claims Adjuster
  • Law Enforcement
  • Military Police / CID
  • Or other related investigative fields


Core Duties & Responsibilities:



  • Investigate multiple insurance lines of business for potential fraud
  • Conduct phone or in-person recorded statements with insureds, claimants, and witnesses
  • Provide daily updates regarding current files
  • Conduct scene investigations
  • Obtain investigative photographs
  • Maintain and report investigative expenses
  • Complete detailed and accurate investigative reports


Requirements:



  • Excellent verbal and written communication skills
  • Demonstrated ability to analyze information, develop logical questions, and accurately report findings
  • Proficiency in Microsoft Office programs
  • Excellent time management skills
  • A customer service focus
  • A strong desire to learn and work as a team
  • Own a Windows-based laptop not older than 3 years
  • Be willing to travel
  • Possess a valid driver's license and provide MVR
  • Current Private Investigator license may be required in some states
  • Must pass a drug test and pre-employment testing


Benefits:



VRC provides its investigators with necessary equipment and competitive pay, including drive time, above normal commute mileage reimbursement, company-paid licensing fees in most states, and allowance for non-reimbursed business expenses. We also offer medical, dental, vision, disability benefits, paid vacation, and a 401K/Profit Sharing retirement plan.



Compensation:



VRC employees are paid on a bi-weekly basis. Investigators are paid an hourly wage to commensurate with experience between $25.00 to $30.00 an hour.



Location:



This position is available in various locations across the United States. Please visit our website to find the location nearest you.



About the Job:



This is a part-time, work-from-home position that requires travel within the designated city and state. As a SIU Investigator, you will conduct multi-line insurance investigations suspected of insurance fraud or other irregularities, obtaining in-person interviews, identifying, collecting, and preserving relevant evidence, and documenting all findings into clear, concise, and timely investigative reports.



What We Offer:



  • Necessary equipment and competitive pay
  • Drive time and above normal commute mileage reimbursement
  • Company-paid licensing fees in most states
  • Allowance for non-reimbursed business expenses
  • Medical, dental, vision, disability benefits
  • Paid vacation
  • 401K/Profit Sharing retirement plan


Contact Us:



Please visit our website to learn more about this opportunity and to apply.


  • Claim Specialist

    3 weeks ago


    Syracuse, New York, United States State Farm Mutual Automobile Insurance Company Full time

    OverviewWe are seeking an experienced Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.ResponsibilitiesAs a Property Field...


  • Syracuse, New York, United States RXO Full time

    Job Summary: We are seeking a skilled Claims Resolution Specialist to join our team at RXO. As a Claims Resolution Specialist, you will be responsible for managing and administering claims on behalf of contracted carriers and technicians. You will also review property damage claims from Profit Center Managers, complete investigations, and resolve claims.Key...

  • Claims Adjuster

    1 month ago


    Syracuse, New York, United States The Hanover Insurance Group Full time

    Job SummaryWe are seeking a skilled Outside Property Adjuster to join our team at The Hanover Insurance Group. As a key member of our claims team, you will be responsible for handling property claims requiring field investigations and/or inspections.Key ResponsibilitiesHandle personal property claims requiring outside field investigations and/or...

  • Claims Examiner

    1 month ago


    Syracuse, New York, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Examiner to join our team in the New England region. As a Claims Examiner, you will be responsible for analyzing and processing complex Workers Compensation claims, ensuring timely and accurate resolution. Your expertise will be invaluable in delivering exceptional customer service to our clients.Key...

  • Claims Examiner

    4 weeks ago


    Syracuse, New York, United States Sedgwick Full time

    At Sedgwick, we're dedicated to providing exceptional service to our clients and their customers. As a Claims Examiner, you'll play a critical role in ensuring that claims are handled efficiently and effectively.Key Responsibilities:Analyze and process complex workers compensation claims to determine benefits due.Negotiate settlements within designated...


  • Syracuse, New York, United States The Liro Group Full time

    Job Summary: We are seeking a highly skilled Claims Analyst to join our team at The LiRo Group in Syracuse, NY. As a Claims Analyst, you will be responsible for reviewing and analyzing construction claims, ensuring agency policies and procedures are being followed, and assessing the impact of delays on project schedules and budgets.Key...


  • Syracuse, New York, United States Randstad Full time

    Job Summary: We are seeking a Claims Resolution Specialist to join our Auto Claims Team in a temp to hire capacity. In this role, you will play a vital part in Hanover's success by providing critical services to the business and its customers. Key Responsibilities: Perform claim processing and payment functions on non-complex claims for one or more lines of...


  • Syracuse, New York, United States Affinity Executive Search Full time

    About the Role:We are seeking a highly motivated civil Trial Attorney with 1-5 years of experience to join our successful firm. The ideal candidate will have a strong academic record, proven writing skills, and a talent for courtroom advocacy.Key Responsibilities:Defend against personal injury, malpractice, and commercial claims in state and federal courts...


  • Syracuse, New York, United States Syracuse University Full time

    The Medical Billing Specialist plays a pivotal role in ensuring the efficient operation of the revenue cycle at The Barnes Center at The Arch, a healthcare and counseling facility at Syracuse University.This position involves preparing, scrubbing, and submitting claims, researching accounts receivable, resolving insurance denials and rejections, and...


  • Syracuse, New York, United States Upstate University Hospital Full time

    Job Summary: The Authorization Specialist at Upstate University Hospital works closely with healthcare providers, patients, and insurance carriers to ensure accurate coding and authorization for maximum reimbursements. This role requires strong knowledge of medical terminology, coding systems, and effective communication skills. The ideal candidate will have...


  • Syracuse, New York, United States Galli Law, PLLC Full time

    Galli Law, PLLC is seeking a highly skilled Litigation Paralegal to support our team in all phases of the litigation process.This is a full-time FLSA exempt position that requires strong organizational and multitasking skills, a thorough understanding of civil litigation practices, and the ability to work independently in a fast-paced environment.Key...


  • Syracuse, New York, United States Travelers Insurance Full time

    Job Title: Risk Control SpecialistAt Travelers Insurance, we're committed to delivering exceptional risk control services to our clients. As a Risk Control Specialist, you'll play a critical role in designing and overseeing the delivery of risk control services to assigned accounts nationwide.Key Responsibilities:Consult with clients on strategies for...


  • Syracuse, New York, United States Upstate University Hospital Full time

    Job Summary:The Authorization Specialist at Upstate University Hospital works closely with healthcare providers, patients, and insurance carriers to ensure accurate information for maximum reimbursements. This role requires strong knowledge of medical coding, including ICD, CPT, and J codes, to effectively communicate with insurance carriers.Key...


  • Syracuse, New York, United States Randstad Full time

    Auto Physical Damage Claims Adjuster Job SummaryAs an Auto Physical Damage Claims Adjuster at Randstad, you will be responsible for analyzing, evaluating, and negotiating auto claims to ensure thorough investigations and resolution. This role requires strong analytical skills, attention to detail, and effective communication with involved parties.Key...


  • Syracuse, New York, United States Sedgwick Full time

    Sedgwick, a global industry leader, is seeking a talented Claims Adjudicator for Workers Compensation to join our team in the New England region. This role provides an exciting opportunity to work with our valued clients, representing a diverse range of industries and organizations.As a Claims Adjudicator, you will play a critical role in analyzing...


  • Syracuse, New York, United States C.R. Fletcher Associates Inc Full time

    To succeed in this role, you will provide case management services to clients in need of support and assistance. Your responsibilities will include reviewing applications, forms, and data to determine eligibility for benefits, meeting with clients to assist them through the process, and working with community partners to best serve clients.As a Case...


  • Syracuse, New York, United States ITS - Integrated Talent Strategies Full time

    Highly motivated Civil Trial Attorneys with 1-5 years of experience are sought for a growing office at a respected boutique litigation firm partnering with ITS - Integrated Talent Strategies. This state-wide presence firm has a strong defense practice spanning multiple areas of litigation, including medical and professional liability, labor law, employment...


  • Syracuse, New York, United States Syracuse Community Health Full time

    POSITION SUMMARY:The Medical Billing Specialist at Syracuse Community Health is responsible for processing claims, reviewing payments, and managing claim adjustments within the EPIC system. This role requires close collaboration with patients, front desk staff, and insurance carriers to ensure optimal submission and payment for all billable visits.KEY...


  • Syracuse, New York, United States ITS - Integrated Talent Strategies Full time

    About the OpportunityWe are partnering with a reputable boutique litigation firm to find an experienced Civil Trial Attorney with 1-5 years of experience for its growing office in New York State.Firm OverviewThis respected firm boasts a strong defense practice spanning multiple areas of litigation, including medical and professional liability, labor law,...


  • Syracuse, New York, United States State Farm Insurance Full time

    Customer Relations Representative at State Farm InsuranceAs a key member of our team, you will assist customers with their insurance needs, providing exceptional service by answering inquiries, resolving issues, and offering solutions. You will process policy changes, claims, and payments accurately and efficiently, maintaining customer records and updating...