Claims Investigator

Allied Universal
Knoxville, TN Full Time
POSTED ON 4/1/2024 CLOSED ON 4/9/2024

What are the responsibilities and job description for the Claims Investigator position at Allied Universal?

Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we serve. We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time compliance and investigation jobs!

Allied Universal® is hiring for 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.

  • Flexible schedules
  • Veteran and law enforcment encouraged
  • Will require SIU and Surveillance investigations as needed to ensure a full schedule

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.

BASIC QUALIFICATIONS:

Formal Education, Licenses, and Certifications Required:

  • Must possess the following:
  • A bachelor’s degree and a minimum of 2 years of demonstrated experience conducting insurance claims Investigations or adjusting complex claims.
  • An associate degree and a minimum of 4 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.
  • Must be able to successfully complete the Allied Universal Investigations training/orientation course.
  • Prefer one or more of the following:
  • Professional industry certifications highly desirable (i.e., CFE, CIFI, FCLA, FCLS, CPP, AIC, CPCU)

Type and Length of Specific Experience Required:

  • 2-4 years of Investigative experience or Insurance claims handling
  • Equivalent years of sustained performance as an Insurance Investigator, Police Officer, or Military Officer may be considered in place of a formal educational degree

Knowledge and Skills Required:

  • Have 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.
  • SIU Compliance knowledge
  • Ability to type 40 words per minute.
  • Flexibility to work varied and irregular hours and days including weekends and holidays.
  • (Proficient in utilizing laptop computers and cell phones.)

PHYSICAL REQUIREMENTS AND ENVIRONMENT:

  • Physical effort: ability to travel and meet with individuals regarding your investigation.
  • Must be able to submit to drug screening to the extent permissible by law.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions of the job.

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, Affirmative Action, Diversity and Inclusion, 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.

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