Claims Investigator

Allied Universal • Bronx, NY

3d

About The Position

Allied Universal® is hiring a Claims Investigator to validate the facts of loss for insurance claims through scene investigations, claimant and witness interviews, document retrieval, and data interpretation. Investigators handle claims involving workers’ compensation, general liability, property and casualty, and disability coverage. They gather information independently and in collaboration with clients and case managers, follow guidance from the handling insurance adjuster on field tasks, and produce clear, professional investigation documentation. The role requires a valid driver’s license and at least one year of driving experience. Candidates must reside in the state listed in the job posting and be able to obtain any required state Private Investigator license. Pay is $28–$32 per hour.

Requirements

• Must possess 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 demonstrated experience conducting complex insurance investigations or adjusting complex claims.
• At least two years of demonstrated experience conducting insurance claims investigations or adjusting complex claims.
• Valid driver’s license and at least one year of driving experience.
• Ability to obtain any Private Investigator license required by the states in which the employee works.
• Must successfully complete the Allied Universal Investigations training/orientation course after receiving an offer.
• Working knowledge of anti-fraud laws, insurance regulations, and compliance rules and standards in the employee’s home state and designated region.
• Special Investigative Unit (SIU) compliance knowledge.
• Ability to type at least 40 words per minute with minimal errors.
• Flexibility to work varied and irregular hours and days, including weekends and holidays.
• Proficiency using laptop computers and cell phones.
• Must reside in the state listed in the job posting.

Nice To Haves

• Military experience.
• Law enforcement experience.
• Insurance administration experience.
• One or more of the following 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), or Chartered Property Casualty Underwriter (CPCU).

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 findings professionally by writing clear, concise, grammatically correct reports, memos, and letters.
• Run appropriate database indices when necessary and verify the accuracy of the results.

Benefits

• Medical, dental, and vision insurance.
• Basic life and AD&D insurance.
• Retirement plan.
• Disability insurance.
• Seven paid holidays annually.
• Sick days where required by law.
• Vacation accruing initially at 3.08 hours biweekly; unused vacation is paid out only where required by law.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED