Remote Insurance Fraud Investigator

Placements24; United States; Remote; USD 11,000 - 15,000; Full time

Benefits offered by this job

Fully remote work environment

Competitive compensation with bonuses

Health insurance

Job summary

Placements24 is seeking a dedicated Remote Insurance Claims Investigator to verify claim legitimacy, uncover fraud, and ensure fair payouts. Work autonomously from a home office in South Africa while supporting claims processes with thorough documentation and expert investigative techniques.

The role requires at least 3 years in claims investigation, strong analytical skills, and proficiency with investigative tools.

Qualifications

• High School Diploma required; criminology or insurance fraud certifications are a plus.
• Strong analytical and critical thinking skills to connect disparate information.
• Excellent interviewing and interpersonal abilities for witness or claimant interviews.
• Proficient in using online databases, records, and investigative software.

Responsibilities

• Investigate suspicious/complex insurance claims across lines of business to detect fraud or errors.
• Review claim docs, policy details, and supporting evidence.
• Use databases, public records, and investigative techniques to verify details.
• Interview claimants, witnesses, and others; maintain objectivity and professionalism.
• Analyze findings and prepare detailed investigation reports with conclusions and recommendations.
• Collaborate with claims adjusters, legal teams, and law enforcement when needed.
• Identify fraud trends and help improve prevention strategies.
• Maintain confidentiality and comply with legal/ethical guidelines.

Skills

Analytical thinking

Interviewing skills

Investigative software

Written communication

Education

High School Diploma

Criminology/Law enforcement/Insurance fraud certifications

Tools

Online research tools

Job description

Placements24 is seeking a dedicated Remote Insurance Claims Investigator to verify claim legitimacy, uncover fraud, and ensure fair payouts. Work autonomously from a home office in South Africa while supporting claims processes with thorough documentation and expert investigative techniques.

The role requires at least 3 years in claims investigation, strong analytical skills, and proficiency with investigative tools.