Insurance Adjuster Licensed Specialist

Job Summary

Working full-time in a remote capacity, the Fraud Triage Specialist (Mobile) will process claims with risk issues, research fraud indicators, and collaborate with colleagues on fraud detection while ensuring compliance with reporting requirements.

Key responsibilities

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

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