Fraud Claims Investigator

A company is looking for a Claims Investigator SIU (Remote). Key Responsibilities Collaborate with the Claims SIU Manager and external vendors on investigative assignments Conduct investigations including background searches, witness interviews, and documentation analysis Prepare detailed investigative reports and ensure compliance with fraud-related laws and regulations Required Qualifications 5 years of analytical/investigative experience in insurance Extensive knowledge of claims investigation and fraud investigation processes Bachelor's degree or equivalent work experience Preferred certifications: FCLS, FCLA, CFE, or CIFA Proficiency with external database tools and ability to identify red flags in data

Mar 24, 2025 - 18:45

A company is looking for a Claims Investigator SIU (Remote). Key Responsibilities Collaborate with the Claims SIU Manager and external vendors on investigative assignments Conduct investigations including background searches, witness interviews, and documentation analysis Prepare detailed investigative reports and ensure compliance with fraud-related laws and regulations Required Qualifications 5 years of analytical/investigative experience in insurance Extensive knowledge of claims investigation and fraud investigation processes Bachelor's degree or equivalent work experience Preferred certifications: FCLS, FCLA, CFE, or CIFA Proficiency with external database tools and ability to identify red flags in data