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Claims Investigator

Overview

Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SUI investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference. Enjoy comprehensive benefits for most full-time positions, including medical, dental, and vision coverage, life insurance, retirement plans, employee assistance programs, and exclusive perks.

Job Description

Allied Universal® is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.

 

  • Unlock new opportunities – apply today! 
  • No office to go to - travel daily to cases in the field!   
  • Pay Rate: $22 - $26 / hr 

 

RESPONSIBILITIES:

  • Investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
  • Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations
  • Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation
  • Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and letters
  • Run appropriate database indices if necessary and verify the accuracy of results found

QUALIFICATIONS (MUST HAVE):

  • Must possess one or more of the following:
    • Bachelor’s degree in Criminal Justice
    • Associate’s degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
    • High school diploma with a minimum of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims
  • Ability to be properly licensed as a Private Investigator as required by the states in which you work
  • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
  • Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims
  • Working knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the country
  • Special Investigative Unit (SIU) Compliance knowledge
  • Ability to type 40+ words per minute with minimum error
  • Flexibility to work varied and irregular hours and days including weekends and holidays
  • Proficient in utilizing laptop computers and cell phones

PREFERRED QUALIFICATIONS (NICE TO HAVE):

  • Military experience
  • Law enforcement
  • Insurance administration experience
  • One or more of the following professional industry certifications
    • Certified Fraud Investigator (CFE)
    • Certified Insurance Fraud Investigator (CIFI)
    • Fraud Claim Law Associate (FCLA)
    • Fraud Claim Law Specialist (FCLS)
    • Certified Protection Professional (CPP)
    • Associate in Claims (AIC)
    • Chartered Property Casualty Underwriter (CPCU)

BENEFITS:

  • Medical, dental, vision, basic life, AD&D, and disability insurance
  • Enrollment in our company’s 401(k)plan, subject to eligibility requirements
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.

Closing

Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com

 

If you have any questions regarding Equal Employment Opportunity, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID

2025-1362294
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CEO of Allied Universal
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Steve Jones
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Average salary estimate

$49920 / YEARLY (est.)
min
max
$45760K
$54080K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Claims Investigator, Allied Universal

Are you ready to take your career to the next level? Join Allied Universal® as a Claims Investigator in Queens, and become a crucial part of our dedicated team that impacts the insurance industry. As a leading name in Compliance and Investigation Services, we provide exceptional opportunities for skilled professionals like you. In this role, you’ll be responsible for validating loss facts related to insurance claims. This is a dynamic, field-based position where you'll actively investigate various claims covering areas like workers' compensation and general liability. Your daily tasks will include conducting thorough scene investigations, interviewing claimants and witnesses, and retrieving essential documents. You’ll gather information independently and collaborate with clients and case managers to ensure a complete understanding of each case. We value clear communication and professionalism, so you'll document your findings meticulously in reports and memos. To thrive in this position, you'll need comprehensive knowledge of anti-fraud laws and insurance regulations as you navigate through your responsibilities. We’re looking for candidates with a bachelor’s or associate’s degree in Criminal Justice or equivalent experience, alongside a valid Private Investigator license. Enjoy the flexibility of traveling instead of being tied to a desk, while earning competitive pay ranging from $22 to $26 per hour. Let’s revolutionize the insurance claims process together—apply now and unlock your potential with Allied Universal®!

Frequently Asked Questions (FAQs) for Claims Investigator Role at Allied Universal
What are the primary responsibilities of a Claims Investigator at Allied Universal®?

The primary responsibilities of a Claims Investigator at Allied Universal® include investigating insurance claims for workers' compensation, general liability, and more. You will conduct scene investigations, interview claimants and witnesses, and gather pertinent documentation. This role requires you to write clear and concise reports, ensuring accurate documentation of findings as well as collaborating with clients and case managers effectively.

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What qualifications do I need to apply for the Claims Investigator position at Allied Universal®?

To apply for the Claims Investigator position at Allied Universal®, you must possess a bachelor's degree in Criminal Justice, or an associate's degree with relevant experience. If you have a high school diploma, you should have at least six years of demonstrated experience in insurance investigations. Additionally, you must be able to obtain a Private Investigator license as required by your home state.

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What benefits are offered to Claims Investigators at Allied Universal®?

Claims Investigators at Allied Universal® enjoy a comprehensive benefits package, which includes medical, dental, and vision insurance, life insurance, and a 401(k) plan. You also receive paid holidays, sick days as required by law, and vacation time, allowing you a reasonable accrual rate for full-time positions.

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What essential skills are required for the Claims Investigator role at Allied Universal®?

Essential skills for a Claims Investigator at Allied Universal® include the ability to conduct thorough investigations, effective communication for interviews, and strong report-writing skills. Familiarity with anti-fraud laws and insurance regulations is crucial, alongside proficiency in using a laptop and typing at least 40 words per minute with minimal errors.

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What kind of work environment can I expect as a Claims Investigator at Allied Universal®?

As a Claims Investigator at Allied Universal®, you can expect a dynamic work environment that involves daily travel to various case sites instead of working in an office. You will have the flexibility to manage your schedule, which may include varying hours, weekends, and holidays, making it an exciting opportunity for those who thrive on active engagement.

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Common Interview Questions for Claims Investigator
Can you describe your previous experience with insurance claim investigations?

In answering this question, provide a detailed overview of your relevant experience, focusing on specific types of claims you have investigated. Highlight any processes you followed and tools you utilized, demonstrating your knowledge and hands-on skills in conducting thorough investigations.

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How do you handle difficult interview subjects or uncooperative witnesses?

Show your ability to remain calm and professional when dealing with difficult interview subjects. Discuss techniques like building rapport, staying neutral, and using active listening to encourage cooperation while explaining how these methods have successfully led to favorable outcomes in your past experiences.

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What steps do you take when gathering information for an investigation?

Explain your systematic approach to gathering information, emphasizing the importance of detail. Include steps like interviewing witnesses, researching public records, and utilizing available databases, showcasing your thoroughness and attention to detail in your work.

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How do you ensure accuracy in your report writing?

Discuss the strategies you use to ensure accuracy in report writing, such as double-checking facts, using clear and concise language, and structuring reports logically. Mention any editing processes or peer reviews you may have used in past roles to maintain high standards.

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What legislative knowledge do you have that relates to insurance investigations?

Demonstrate your understanding of relevant insurance regulations, anti-fraud laws, and compliance standards, and explain how this knowledge influences your investigative processes. Provide examples of how you've applied this legal knowledge in practical scenarios.

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Why do you want to work for Allied Universal® as a Claims Investigator?

Express your interest in Allied Universal® by highlighting the company’s commitment to innovation and excellence in the field. Discuss personal values that align with the company’s mission and how the role aligns with your career aspirations.

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Can you give an example of a particularly challenging investigation, and how you handled it?

Share a specific example that illustrates your problem-solving abilities and investigative skills. Detail the challenges faced, the methods you employed to overcome them, and the end results, demonstrating your resilience and critical thinking.

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What tools or software are you familiar with for conducting claims investigations?

Provide a list of tools or software you have experience with, such as investigative databases, report-writing software, or research tools. Discuss how you’ve effectively utilized these resources in past investigations to streamline your work.

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How do you stay updated on industry trends and changes in regulations?

Talk about the resources you utilize to stay informed, such as industry publications, seminars, or regulatory updates. Show your enthusiasm for continuous learning and how you’ve adapted to changes in the industry throughout your career.

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What motivates you to pursue a career in insurance claims investigation?

Share your passion for the investigative process and how it contributes to fairness in the insurance industry. Discuss personal experiences or values that drive your interest in this field, highlighting why you find it rewarding.

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Purpose There for you®, serving and safeguarding customers, communities, and people around the world. Vision Be the world’s most trusted services partner. Mission Allied Universal®, through its unparalleled customer relationships, provides proacti...

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DATE POSTED
April 16, 2025

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