Claims Investigation Specialist

Job Summary

A company is looking for a Specialist, Claims Investigation.

Key Responsibilities

• Identify potential fraud and support SIU engagement through proactive reviews and audits
• Review and manage investigative resources, ensuring appropriate use and compliance with regulations
• Provide training and support to team members and stakeholders on various investigative topics

Required Qualifications

• 4-year bachelor's degree or equivalent work experience (4 years in lieu of a degree)
• Associate or bachelor's degree in criminal justice or a related field, or equivalent experience
• 5+ years of claims investigation or professional investigation experience with law enforcement
• 7+ years of professional investigation experience in economic or insurance-related matters
• Investigative background such as law enforcement or private investigator is preferred