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Special Claims Investigator

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Great American Insurance Group

Dec 19

Applications are closed

  • Job
    Full-time
    Mid & Senior Level
  • Government & Politics
    Legal
  • United Kingdom, +15
    Remote

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.
  • Ability for overnight travel.

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.

FAQs

Is this position fully remote?

Yes, the Special Claims Investigator position is fully remote.

What are the essential responsibilities of a Special Claims Investigator?

The essential responsibilities include conducting investigations for claims cases, gathering necessary information, identifying trends of suspected fraud, coordinating with various agencies, preparing investigation reports, and potentially testifying in cases.

What kind of experience is required for this role?

Generally, 3 to 6 years of related experience is required, including Criminal Investigation or Fraud Detection experience. Professional designations like Certified Fraud Examiner or a Private Investigator license are preferred.

Will there be a need for travel in this position?

Yes, the position requires availability for overnight business travel both within the state of residence and to out-of-state locations.

What is the salary range for the Special Claims Investigator position?

The salary range for this position is $65,000.00 - $77,000.00.

Does Great American Insurance Group offer benefits to its employees?

Yes, they offer a competitive Total Rewards package, including medical, dental, vision plans, PTO, paid holidays, and a 401(k) plan with company match, among other benefits.

What educational background is required for the Special Claims Investigator role?

A Bachelor’s Degree or equivalent experience is required, with a field of study in Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science, or a related discipline.

Will the Special Claims Investigator assist in training others?

Yes, the investigator may assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.

Is this position exempt or non-exempt in California?

This job is non-exempt in California.

How does individual pay vary for this position?

Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

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Great American Insurance Group

Finance
Industry
5001-10,000
Employees

Mission & Purpose

For more than 150 years, customers have trusted us to protect what matters most to them. Great American Insurance Group’s roots go back to 1872 with the founding of its flagship company, Great American Insurance Company. Our innovative and specialized insurance solutions are designed to serve niche marketplaces that we know well. With our deep expertise and financial strength, we have laid a foundation of success that has stood the test of time. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged in property and casualty insurance. With more than 30 specialty property and casualty insurance businesses, we’re well-positioned to offer tailored insurance solutions to meet businesses’ unique needs. Great American Insurance Company has received an "A" (Excellent) or higher rating from the AM Best Company for 115 years (most recent rating evaluation of "A+" (Superior) affirmed December 16, 2022). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

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