Claims Special Investigator III

Job description

Claims Special Investigator III Job Summary: This position's primary responsibility is the investigation and disposition of potentially fraudulent claims in any product line sold by the organization. The position also acts as liaison between the organization and industry entities, which include other carriers, law enforcement, District Attorneys, NICB and the Department of Insurance. The position requires a diverse skill set which includes investigating, public speaking, teaching and reporting. Job Duties: Develop and implement investigative strategies for assigned casualty, auto property damage, auto theft, and/or homeowners claims. Complete and/or supervise thorough field investigations to ensure proper coverage is afforded. Includes reviewing and investigating suspicious activity, using effective investigation strategies, and background searches and research as appropriate. Prepare and provide appropriate investigative reports clearly outlining the issues, investigation, and findings and recommendations to claims staff. Ensure proper reporting to NICB, Department of Insurance, and local District Attorneys, as warranted. Includes attending and/or testifying in court hearings and...