Claims Investigator

Allied Universal • New York, NY

5d • $28 - $32

About The Position

Allied Universal® Compliance and Investigation Services is hiring a Claims Investigator to validate facts of loss for insurance claims through scene investigations, claimant and witness interviews, document retrieval, and data interpretation. The role investigates claims involving coverage such as workers’ compensation, general liability, property and casualty, and disability. Investigators gather information independently and with clients and case managers, follow direction from handling insurance adjusters on field tasks, and document findings through professional reports, memos, and letters. The position requires a valid driver’s license and at least one year of driving experience, and the candidate must reside in the state listed in the job posting. Pay is $28–$32 per hour.

Requirements

• Possess a valid driver’s license and at least one year of driving experience.
• Reside in the state listed in the job posting.
• Meet one of the following education and experience combinations: a bachelor’s degree in Criminal Justice; an associate’s degree in Criminal Justice and at least four years of demonstrated experience conducting complex insurance investigations or adjusting complex claims; or a high school diploma and at least six years of such experience.
• Have at least two years of demonstrated experience conducting insurance claims investigations or adjusting complex claims.
• Be able to obtain and maintain any Private Investigator license required in the states where the work is performed.
• Successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• Have working knowledge of anti-fraud laws, insurance regulations, and compliance rules and standards in the home state and designated region.
• Have Special Investigative Unit (SIU) compliance knowledge.
• Type at least 40 words per minute with minimal errors.
• Be flexible to work varied and irregular hours and days, including weekends and holidays.
• Be proficient in using laptop computers and cell phones.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• Certified Fraud Investigator (CFE) certification.
• Certified Insurance Fraud Investigator (CIFI) certification.
• Fraud Claim Law Associate (FCLA) certification.
• Fraud Claim Law Specialist (FCLS) certification.
• Certified Protection Professional (CPP) certification.
• Associate in Claims (AIC) certification.
• Chartered Property Casualty Underwriter (CPCU) certification.

Responsibilities

• Investigate insurance claims involving workers’ compensation, general liability, property and casualty, and disability coverage.
• 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 investigation information in clear, concise, grammatically correct reports, memos, and letters.
• Run appropriate database indices when necessary and verify the accuracy of results.

Benefits

• Medical insurance.
• Dental insurance.
• Vision insurance.
• Basic life insurance.
• AD&D insurance.
• Retirement plan.
• Disability insurance.
• Seven paid holidays annually.
• Sick days where required by law.
• Vacation time accrued initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time