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Claims Investigator
2 months ago
KING'S INSURANCE STAFFING LLC is seeking a skilled Claims Investigator to join our team in a Field Investigator role. As a Claims Investigator, you will be responsible for conducting thorough investigations into suspicious or questionable property damage, casualty, and PIP claims. This is a remote position covering the Central Florida area.
Key Responsibilities- Conduct Investigations: Conduct thorough investigations of suspicious or questionable property damage, casualty, and injury claims, including PIP claims.
- Analyze Claims Data: Analyze claims data, review documents, and identify red flags or potential fraudulent activities.
- Investigate Medical Clinics: Investigate medical clinic operations and billing practices to detect fraudulent activity or patterns related to injury claims.
- Support Claims Handling: Collaborate with the Claims Department to support claims handling processes by providing investigative findings and recommendations.
- Conduct Interviews: Conduct interviews with claimants, witnesses, and other involved parties to gather facts and assess the legitimacy of claims.
- Document Results: Document investigation results in detailed reports, including findings, conclusions, and recommended actions.
- Stay Up-to-Date: Maintain up-to-date knowledge of industry trends, fraud schemes, and regulatory requirements to enhance investigation strategies.
- Experience: 4 to 8+ years of experience in claims investigations, particularly in property damage and casualty claims.
- Skills: Strong analytical and investigative skills, with a focus on detecting and preventing fraud. Ability to manage multiple investigations concurrently and work effectively in a fast-paced environment.
- Education: College Degree highly preferred.
- Salary: $80,000 to $90,000+ Annual based salary (depending on experience)
- Car Allowance: Car Allowance or Company Car provided
- Benefits: Extremely competitive Medical, Dental, Vision and Life plans. Employer matching 401(k) plan. Generous PTO plan.