Senior Insurance Investigator

Placements24; Queenstown; Hybrid; NZD 90,000 - 125,000; Full time

Benefits offered by this job

Health insurance

Home office allowance

Fully remote position

Performance-based bonuses

Professional training

Job summary

Placements24 is seeking a Senior Insurance Investigator to join a fully remote team. You will conduct in-depth investigations into suspected fraud across insurance claims, gather evidence, interview involved parties, and prepare comprehensive reports for management and legal teams.

Ideal candidates bring 5+ years in insurance investigations or fraud detection, strong analytical skills, and a proven ability to work independently from a remote location while upholding confidentiality and ethical

Qualifications

• 5+ years experience as an Insurance Investigator or in fraud detection.
• Proven ability to conduct complex investigations and gather evidence.
• Strong understanding of insurance policies and claims processes.
• Excellent report writing and interviewing skills.

Responsibilities

• Conduct thorough and discreet investigations into suspected fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including reviewing documentation, conducting surveillance, and interviewing claimants, witnesses, and involved parties.
• Prepare detailed, objective, and well-supported investigation reports for management and legal teams.
• Collaborate with internal claims handlers, legal counsel, and external law enforcement agencies when necessary.
• Identify patterns and trends in fraudulent activities to assist in developing proactive prevention strategies.
• Maintain strict confidentiality and adhere to all legal and ethical standards throughout investigations.

Tools

Insurance Investigation

Job description

About the Role

Our client is searching for a highly skilled and experienced Senior Insurance Investigator to join their team in a completely remote capacity . This role demands a sharp, analytical mind capable of conducting in-depth investigations into potentially fraudulent or complex insurance claims. You will be responsible for gathering evidence, interviewing relevant parties, and providing comprehensive reports to support claims resolution and loss prevention efforts. This is an excellent opportunity for a seasoned investigator who values autonomy and wishes to apply their expertise in fraud detection and risk assessment within the insurance sector from a location of their choice.

Key Responsibilities

• Conduct thorough and discreet investigations into suspected fraudulent insurance claims across various lines of business.
• Gather and analyze evidence, including reviewing documentation, conducting surveillance, and interviewing claimants, witnesses, and involved parties.
• Prepare detailed, objective, and well-supported investigation reports for management and legal teams.
• Collaborate with internal claims handlers, legal counsel, and external law enforcement agencies when necessary.
• Identify patterns and trends in fraudulent activities to assist in developing proactive prevention strategies.
• Maintain strict confidentiality and adhere to all legal and ethical standards throughout investigations.

Requirements

• Substantial experience (5+ years) as an Insurance Investigator or in a related field such as fraud detection or law enforcement.
• Proven ability to conduct complex investigations, gather evidence, and interpret findings.
• Strong understanding of insurance policies, claims processes, and investigative techniques.
• Excellent report writing, interviewing, and analytical skills.
• High level of integrity, discretion, and ethical conduct.
• Ability to work independently and manage investigations effectively in a remote setting.

Benefits

• Competitive salary and performance-based bonuses.
• Fully remote position offering significant flexibility and work-life integration.
• Comprehensive health, dental, and vision insurance.
• Allowance for home office setup and technology.
• Opportunities for continued professional training in investigative techniques and fraud detection.