Senior Insurance Fraud & Claims Investigation Specialist

Posted 3 days ago

This is a fully remote position, open to applicants in United States, +3 more countries.

πŸ“‹ Description

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.


⛳️ Requirements

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.


🏝️ Benefits

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.

People also viewed

Hollis Cobb Associates1 day ago

Insurance Follow-Up Representative

US flagIllinois, +4 more statesFull-timeInsurance
ApplyView job
trainwell1 day ago

Talent Sourcer – Licensed Insurance Agent Focus

US flagIowa OnlyFull-timeInsurance$55k – $70k/year
ApplyView job
Sandhills Financial Group1 day ago

Life Insurance Sales Agent

US flagNorth Carolina OnlyFreelanceInsurance
ApplyView job
ASSIST Business Solutions1 day ago

Insurance Agent

US flagOhio OnlyFreelanceInsurance
ApplyView job
e-broker.ch1 day ago

Insurance Specialist, Branch Manager, Insurance Broker in the SME Sector

Anywhere in the WorldFull-timeInsurance
ApplyView job
Summit Home Health & Hospice (TX)1 day ago

Insurance Verification Specialist

US flagTexas OnlyFull-timeInsurance$40k – $48k/year
ApplyView job

Never miss a great job!

Get handpicked remote jobs straight to your inbox weekly.

Trusted by 7,400+ designers