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Insurance Claims Investigator

2 months ago

Charleston West Virginia, United States Allied Universal Full time
Job Title: Surveillance / Claims Investigator

Join Allied Universal Compliance and Investigation Services, a global leader in insurance claim investigation, as a Surveillance / Claims Investigator. As a key member of our team, you will play a crucial role in 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 various coverage types, including workers' compensation, general liability, property, and casualty, and disability.
  • Gather information independently and in collaboration with clients and case managers through 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 years of demonstrated experience conducting complex insurance investigations or adjusting complex claims, or High school diploma with a minimum of six 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 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.
Preferred Qualifications:
  • Military experience.
  • Law enforcement.
  • Insurance administration experience.
  • One or more of the following professional industry certifications: Certified Fraud Investigator (CFE), Certified Insurance Fraud Investigator (CIFI), Fraud Claim Law Associate (FCLA), Fraud Claim Law Specialist (FCLS), Certified Protection Professional (CPP), Associate in Claims (AIC), Chartered Property Casualty Underwriter (CPCU).
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.

Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status, or relationship/association with a protected veteran, or any other basis or characteristic protected by law.