Claims Investigator

Davita Inc.; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading company in insurance claim investigation is seeking a Claims Investigator in New York. You will be responsible for validating insurance claims through comprehensive investigations and writing detailed reports. Ideal candidates have a background in Criminal Justice with substantial investigative experience, and enjoy competitive hourly pay along with comprehensive benefits.

Benefits

Medical, dental, vision insurance

401(k) plan with company enrollment

Paid holidays and sick days

Vacation time accrual starting at 3.08 biweekly

Qualifications

• Experience in conducting complex investigations essential.
• Ability to be licensed as a Private Investigator in required states.
• Minimum of two years' experience in insurance claims investigations.

Responsibilities

• Validate claims for various types of insurance through investigations.
• Gather information independently and from collaboration with clients.
• Write clear and concise reports on findings.

Skills

Investigating

Data collection

Report writing

Interviewing

Research

Education

Bachelor's degree in Criminal Justice

Associate's degree in Criminal Justice with 4+ years experience

High school diploma with 6+ years experience

Job description

Claims Investigator

Job Locations

US-NY-Queens

Requisition ID

2025-1388892

Category (Portal Searching)

Compliance & Investigations

Business Unit

CNI

Overview

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Enjoy comprehensive benefits for most full-time positions, including medical, dental, and vision coverage, life insurance, retirement plans, employee assistance programs, and exclusive perks.

Job Description

Unlock new opportunities - apply today!

• Candidate must reside in state listed in job posting

• Pay Rate: $28 - $32 / hr

Allied Universal is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.

RESPONSIBILITIES:

• 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

QUALIFICATIONS (MUST HAVE):

• 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

PREFERRED QUALIFICATIONS (NICE TO HAVE):

• 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)

BENEFITS:

• 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.

Closing

Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com

If you have any questions regarding Equal Employment Opportunity, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID

2025-1388892