Claims Investigator

Apexpi; Los Angeles (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

Apex Investigation seeks a Claims Investigator to conduct thorough interviews, write comprehensive reports, and manage case documentation. This flexible role requires effective communication skills and experience in insurance or claims investigations, with an emphasis on independence and teamwork. Benefits include medical, dental, and travel reimbursements.

Benefits

Medical

Dental

Vision

PTO

FSA

Simple IRA Plan

Mileage and Travel Reimbursement

Qualifications

• Experience in insurance or claims investigations.
• Excellent verbal and written communication skills.
• Highly organized and capable of managing a dynamic caseload.

Responsibilities

• Conduct in-person investigations and interviews for claims.
• Document and report findings accurately and timely.
• Maintain case organization and communication.

Skills

Verbal Communication

Written Communication

Problem Solving

Organization

Attention to Detail

Education

Bachelor’s degree in Criminal Justice or related field

Tools

Microsoft Word

Job description

Signing bonus after your first 90 days!

APEX Investigation

APEX Investigation is a leader in Insurance, Workers' Compensation, Liability and Human Resource Investigations. Our experience investigating thousands of cases, and our ability to adapt to the ever-changing laws impacting our clients gives APEX the leading edge in defending frivolous, exaggerated or fraudulent claims.

About Us

APEX Investigation is a trusted leader in Insurance, Workers' Compensation, Liability, and Human Resource Investigations. For over 40 years, APEX has stood firm in its dedication to reducing insurance risks and combating fraudulent claims. Our commitment to delivering fast, high-quality, and reliable investigations has made us the partner of choice for our clients. APEX Investigation’s mission is to build lasting relationships through trust, integrity and quality investigations. The APEX team lives out that mission by providing constant communication, results you can use, delivered fast at a fair price.

The Role

Claims Investigators are responsible for conducting thorough interviews of all parties involved in workers’ compensation claim injuries, providing timely updates to the client and writing comprehensive reports in a timely manner.

APEX employees thrive in their positions through the autonomy and support that they receive. The Claims Investigator role is highly flexible in operation based upon the interests of the employee; you can choose where you would like to live and operate. We strive to grow our employee retention rate through fair compensation and offering the tools required for our employees to be successful and to enjoy working with us. The work is independent, however the Claims Investigation team is strong in support as well as camaraderie.

Salary Range and Description

• Hourly range: $22.92 - $30.55

Key Responsibilities

• Conduct In-Person Investigations and Interviews: Travel to various locations—sometimes long distances or overnight—to conduct recorded statements, scene canvasses, and meet with relevant parties such as claimants, witnesses, doctors, or agencies.
• Document and Report Findings Accurately and Timely: Compose and submit grammatically correct updates and reports within designated deadlines (24 to 72 hours), ensuring all findings, interviews, and case developments are clearly documented in CaseLink.
• Maintain Case Organization and Communication: Keep case files updated and organized, upload all documents and evidence to CaseLink the same day they are obtained, and communicate case updates to clients professionally via email and/or phone as needed.
• Apply Investigative Knowledge and Critical Thinking: Interpret interview responses effectively, ask appropriate follow-up questions beyond standard questionnaires, and apply knowledge of workers’ compensation and legal processes to make informed recommendations.
• Operate Equipment and Maintain Secure Work Environment: Utilize tools such as digital recorders, scanners, and cameras to collect evidence; label and store electronic files securely; and manage a safe and efficient home office workspace as a telecommuter.

What You'll Need to Apply

• Valid driver’s license with a clean driving record
• Access to a working computer, digital recorder, and multi-page scanner/copier
• Ability and willingness to travel up to 150 miles, including same-day and overnight trips
• Flexible availability, including early mornings, occasional weekends, overtime, and short-notice rush cases
• Personal credit card with available balance for reimbursable business expenses
• Ability to lift up to 30 lbs, sit for long periods, and walk varied terrain for fieldwork
• Comfortable working remotely in a secure, distraction-free home office environment
• Proficient in Microsoft Word and familiar with case management tools

Qualifications

• Experience in insurance or claims investigations and/or working knowledge of AOE/COE workers’ compensation claims
• Preferred: Experience conducting claims or accident interviews and taking recorded statements (in person or over the phone)
• Insurance, claims, or accident adjuster experience is a plus
• Bachelor’s degree preferred (especially in Criminal Justice, Communications, or related field)
• Excellent verbal and written communication skills; able to compose grammatically correct, professional reports and updates
• Strong problem-solving skills and ability to ask thoughtful, open-ended follow-up questions during interviews
• Highly organized, detail-oriented, and skilled in maintaining accurate and secure digital case files
• Able to work independently and manage a dynamic caseload under tight deadlines
• Maintains objectivity, professionalism, and confidentiality in all interactions
• Bonus: Bilingual (Spanish) and/or military veteran experience

Benefits Offered to Full-time Employees

- Medical

- Dental

- Vision

- PTO

- FSA

- Simple IRA Plan

- Mileage and Travel Reimbursement for Surveillance and Claims positions

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to their race, creed, color, disability, sex, sexual orientation, national origin, age, religion, Vietnam era Veteran’s status, political affiliation, or any other non-merit factor.

After making a conditional offer of employment, the company will conduct a job-related background check. A comprehensive background check may consist of prior employment verification, motor vehicle records, professional reference checks, education confirmation and/ or criminal record and credit checks. Third-party services will be hired to perform these checks. Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

**After an offer is made and accepted, the employer will comply with the Immigration and Nationality Act I-9 requirements to establish your identity and employment eligibility.