Claims Fraud Detective

5 days ago


Albany, New York, United States Delta Group Full time
About the Opportunity

We are seeking a Claims Fraud Detective to join our team at Delta Group. As a key member of our Special Investigations Unit, you will be responsible for conducting thorough investigations into questionable insurance claims, identifying and preventing potential fraud.

The ideal candidate will have extensive experience in claims investigations, with a strong background in Workers Compensation claims. You will work closely with clients, claims personnel, law enforcement, and government agencies to gather evidence and build a case against fraudulent activity.

Responsibilities:

  • Conduct timely and thorough investigations, including recorded statements and interviews
  • Provide regular status updates to case managers and clients
  • Maintain accurate and detailed documentation of claim files
  • Ensure confidentiality and professionalism throughout the investigation process

Requirements:

  • 5-10 years of experience in claims and SIU investigations
  • Strong investigative skills, attention to detail, and ability to recognize patterns of inconsistencies
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team

What We Offer:

  • A competitive salary range of $45-$65 per hour, based on experience
  • A dynamic and supportive work environment
  • Ongoing training and professional development opportunities


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