Claims Investigator
- Buffalo, NY
- $28.00-32.00 per hour
- Permanent
- Full-time
- Must possess a valid driver's license with at least one year of driving experience
- Candidate must reside in state listed in job posting
- Pay Rate: $28 - $32 / hr
- Investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
- Gather information independently and in collaboration with clients and case managers through various methods such as 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
- 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 (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
- High school diploma with a minimum of six (6) 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 (2) 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
- Must possess a valid driver's license with at least one year of driving experience
- 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)
- 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.