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Insurance Claims Investigator

2 months ago

Melville, New York, United States Allied Universal Compliance and Investigations Full time
Job Summary

We are seeking a highly skilled and experienced Insurance Claims Investigator to join our team at Allied Universal Compliance and Investigations. As a Special Investigations Unit (SIU) Investigator, you will play a critical role in investigating suspected fraudulent insurance claims and ensuring the integrity of our clients' insurance programs.

Key Responsibilities
  • Conduct thorough investigations of suspected fraudulent insurance claims, utilizing your expertise in insurance policies and fraud detection techniques.
  • Collaborate with clients, case managers, and other SIU entities to gather information and develop a comprehensive understanding of each case.
  • Develop and maintain detailed documentation of investigations, including reports, memos, and letters.
  • Produce high-quality, professional reports and presentations that effectively communicate findings and recommendations.
  • Stay up-to-date with industry developments and best practices in insurance investigations and fraud detection.
Requirements
  • Bachelor's degree in a related field, such as criminal justice or a related field, or equivalent experience.
  • Minimum of 5 years of experience in insurance investigations, law enforcement, or a related field.
  • Ability to obtain and maintain necessary licenses and certifications, including private investigator licenses.
  • Excellent analytical, communication, and problem-solving skills.
  • Ability to work independently and as part of a team.
Preferred Qualifications
  • Military experience or law enforcement background.
  • Professional certifications, such as Certified Fraud Investigator (CFE) or Certified Insurance Fraud Investigator (CIFI).
  • Experience with insurance administration or claims handling.
What We Offer
  • Competitive hourly rate: $32 - $38 per hour.
  • Comprehensive benefits package, including medical, dental, and vision coverage.
  • 401(k) plan with company match.
  • Seven paid holidays annually and sick days as required by law.
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full-time positions.