Senior Claims Investigator

Job Summary

A company is looking for a Senior Special Claims Investigator to join their Special Investigation Unit.

Key Responsibilities

• Detects and prevents fraudulent claims through investigation and analysis
• Prepares comprehensive reports summarizing findings and recommending claim actions
• Contributes to improving investigation processes and may facilitate training sessions

Required Qualifications

• Bachelor's Degree in Criminal Justice, Risk Management and Insurance, Business Administration, or related field
• Minimum of 6 years of casualty claim handling experience with Criminal Investigation or Fraud Detection experience
• Experience handling a litigation case load of complex casualty claims
• Progress toward or completion of a professional designation such as CIFI or Certified Fraud Examiner preferred
• Strong knowledge of claims investigation laws and regulations