Insurance Claims Investigator

2 days ago


Charleston, West Virginia, United States Allied Universal® Compliance and Investigations Full time
Job Description

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services.

We are seeking a Claims Investigator to join our team. As a Claims Investigator, you will be responsible for validating the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.

Responsibilities:

  • Investigate insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
  • Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations
  • Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation
  • Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and letters
  • Run appropriate database indices if necessary and verify the accuracy of results found

Qualifications:

  • Must possess one or more of the following:
    • Bachelor's degree in Criminal Justice
    • Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
    • High school diploma with a minimum of six (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
  • Ability to be properly licensed as a Private Investigator as required by the states in which you work
  • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
  • Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims
  • Working knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the country
  • Special Investigative Unit (SIU) Compliance knowledge
  • Ability to type 40+ words per minute with minimum error
  • Flexibility to work varied and irregular hours and days including weekends and holidays
  • Proficient in utilizing laptop computers and cell phones

Benefits:

  • Medical, dental, vision, basic life, AD&D, and disability insurance
  • Enrollment in our company's 401(k)plan, subject to eligibility requirements
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.

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