Claims Investigator
Claims Investigator investigates assigned claims to determine validity, detect potential fraud, and gather facts to support claim decisions. Conducts interviews, surveillance, record reviews, and field investigations to obtain relevant evidence. Being a Claims Investigator analyzes statements, documentation, and data to identify inconsistencies and indicators of fraud. Documents investigative findings, evidence, and conclusions in clear and accurate reports. Additionally, Claims Investigator ensures compliance with applicable laws, regulations, and investigative standards. Requires a bachelor's degree. Typically reports to a manager. The Claims Investigator occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Investigator typically requires 2-4 years of related experience.
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- Claims Investigator Salaries with No Diploma
- Claims Investigator Salaries with a High School Diploma or Technical Certificate
- Claims Investigator Salaries with an Associate's Degree
- Claims Investigator Salaries with a Bachelor's Degree
- Claims Investigator Salaries with a Master's Degree or MBA
- Claims Investigator Salaries with a JD, MD, PhD or Equivalent