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Special Claims Investigator

75% Flex
Remote: 
Full Remote
Contract: 
Salary: 
6 - 77K yearly
Experience: 
Senior (5-10 years)
Work from: 
Ohio (USA), United States

Offer summary

Qualifications:

Bachelor’s Degree in Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or related field, 3-6 years of experience in Criminal Investigation or Fraud Detection.

Key responsabilities:

  • Conduct specific investigations for claims cases
  • Identify trends and patterns of fraudulent activity
  • Prepare investigation reports and detailed comprehensive reports
  • Coordinate with various agencies and personnel
  • Provide guidance to less experienced staff
Great American Insurance Company logo
Great American Insurance Company Insurance XLarge https://www.gaig.com/
5001 - 10000 Employees
See more Great American Insurance Company offers

Job description

Logo Jobgether

Your missions

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.

Essential Job Functions and Responsibilities
  • Conducts specific investigations for claims cases:
    • Investigates all suspect fraud referrals.
    • Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
    • Identifies trends and patterns of suspected fraudulent activity.
    • Personally handles field investigations or assigns field work (i.e., surveillance, statements, etc.) to independent investigation firms.
    • Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.
  • Prepares investigation reports and detailed comprehensive reports.  Evaluates claims and recommends courses of action to management.
  • May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
  • May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
  • May provide guidance to less experienced staff and serve as a resource to other functional areas.
  • Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations:
    • May participate in identifying enhancements to improve performance and functionality of technology applications.
    • May participate in testing the application.
  • Performs other duties as assigned. 

Job Requirements
Education: Bachelor’s Degree or equivalent experience.
Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
Experience: Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience.  Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred. 

This job is non-exempt in California

Business Unit:

Corporate Claims


Salary Range:

$65,000.00 -$77,000.00

Benefits:

The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.

Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Soft Skills

  • Teamwork
  • Interpersonal Skills
  • Analytical Thinking
  • Proactive Mindset
  • Leadership