Insurance Adjuster Licensed Specialist

Job Summary

Working full-time in a remote capacity, the Fraud Triage Specialist will process claims with risk issues, conduct fraud research, and collaborate with colleagues to enhance fraud detection efforts while adhering to productivity and quality standards.

Key responsibilities

• Research and process claims with risk issues, and collaborate with SIU investigators for suspected fraud referrals
• Document claim files and respond to internal client inquiries to ensure accurate communication
• Identify risk and compliance issues, participating in the implementation of tools to minimize these concerns

Required qualifications

• High School diploma, GED, or higher
• 3+ years of experience in a customer service environment
• Ability to attend and pass required Insurance Adjuster License courses
• Analytical skills with experience in data and statistical analysis
• Proficiency in Microsoft Word, Excel, and other Office applications