
Senior Insurance Fraud & Claims Investigation Specialist
Posted 3 days ago

Posted 3 days ago
This is a fully remote position, open to applicants in United States, +3 more countries.
β’ Examine digital claim evidence, such as CCTV footage, dashcam videos, scene photographs, witness statements, and engineering evaluations.
β’ Detect inconsistencies, anomalies, and signs that may indicate staged events or fraudulent claims.
β’ Reconstruct accident and loss occurrences utilizing visual, technical, and documented evidence.
β’ Evaluate the credibility of reported incidents and analyze possible causes of loss.
β’ Create comprehensive, structured written assessments that are suitable for Special Investigation Unit (SIU) investigators, forensic engineers, and insurance professionals.
β’ Articulate investigative findings and substantiate conclusions with clear, objective evidence.
β’ Recognize trends linked to staged-loss incidents, suspicious claims, and potentially organized fraud schemes.
β’ Review technical reports, visual evidence, and claim documentation for accuracy and consistency.
β’ Contribute investigative insights and industry best practices to AI training and evaluation datasets.
β’ Collaborate remotely with project stakeholders, offering professional feedback and clarifications.
β’ At least 7 years of relevant professional experience in Special Investigations / Special Investigation Units (SIU), Insurance Fraud Detection, Claims Investigation, Forensic Engineering, or Fleet Safety Investigation or Review.
β’ Proven experience in analyzing insurance claim evidence and assessing incident authenticity and causation.
β’ Strong capability to interpret visual evidence, technical reports, statements, and supporting documentation.
β’ Experience in identifying inconsistencies and potential indicators of staged-loss incidents or fraudulent activities.
β’ Excellent analytical and critical-thinking abilities.
β’ Strong written communication skills, with the capability to produce detailed, evidence-based investigative reports.
β’ Ability to operate independently and convey findings clearly in a remote setting.
β’ Competitive salary package.
β’ Opportunities for professional development and growth.
β’ Flexible working hours and remote work options.
β’ Comprehensive health and wellness benefits.
Hollis Cobb Associates
trainwell
Sandhills Financial Group
ASSIST Business Solutions
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