Claims Investigator

About the role

Allied Universal Compliance and Investigation Services is hiring a Claims Investigator in Queens, NY. Claim Investigators validate the facts of loss for insurance claims through scene investigations, interviews with claimants and witnesses, document retrieval and data interpretation. The pay rate is $28-$32 per hour.

Key responsibilities

• Investigate insurance claims covering workers' compensation, general liability, property and casualty and disability.
• Gather information independently and with clients and case managers through data collection, interviews, research and scene investigations.
• Follow the guidance of the handling insurance adjuster to carry out field tasks.
• Write clear, concise and grammatically correct reports, memos and letters documenting each investigation.
• Run database searches when needed and verify the accuracy of the results.

Required profile

• Valid driver's license with at least one year of driving experience; must live in the state listed in the posting.
• One of: bachelor's degree in Criminal Justice; associate's degree in Criminal Justice with at least 4 years of complex insurance investigations or claims adjustment; high school diploma with at least 6 years of such experience; or ability to be licensed as a Private Investigator in the state of work.
• At least 2 years of demonstrated experience investigating insurance claims or adjusting complex claims.
• Knowledge of anti-fraud laws, insurance regulations and compliance rules in your home state and region, and Special Investigative Unit (SIU) compliance knowledge.
• Ability to type 40+ words per minute with minimal errors, work varied and irregular hours including weekends and holidays, and use laptops and cell phones.
• Preferred: military or law enforcement experience, insurance administration experience, and certifications such as CFE, CIFI, FCLA, FCLS, CPP, AIC or CPCU.

What we offer

• Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance.
• Seven paid holidays annually and sick days where required by law.
• Vacation accruing at 3.08 hours biweekly, paid out only where required by law.