Investigation Adjuster Consultant

Role Overview

• Investigating and analyzing moderately complex, single-discipline coverage and claims referred to the Special Investigation Unit (SIU)
• Conducting detailed investigations, performing background searches, taking recorded statements, interviewing witnesses, and reviewing social media activity
• Evaluating whether fraud can be substantiated and supporting litigation when appropriate
• Summarizing documents and maintaining accurate claim files with notes, evaluations, and decisions
• Addressing moderately complex customer concerns and inquiries
• Reviewing investigation findings to determine if fraud denial is warranted
• Conducting thorough investigations, including background checks, and scene inspections
• Utilizing analytical tools to identify and validate fraud indicators
• Managing vendor relationships and monitoring performance
• Making informed decisions on claims and pursuing restitution when necessary
• Entering claim data into SIU systems and updating files with investigation outcomes
• Returning the file to the market claims office for continued handling and settlement when fraud is not substantiated or evidence is insufficient.

Requirements

• 3 -5 years of auto insurance claim handling experience
• Ability to work across all U.S. time zones
• Strong negotiation and conflict resolution skills
• Proven ability to manage a high-volume workload while handling complex claims
• Experience conducting recorded interviews and witness statements
• Strong analytical and critical thinking skills for evaluating information
• Excellent customer service and communication skills (written and verbal)
• Ability to thrive in a fast-paced environment and manage multiple priorities effectively
• Bachelor’s degree in criminal justice, Law, or a related field a plus
• Appropriate licensing is not required but is preferred.

Benefits

• A one-time $1,000 sign-on bonus for candidates with an active Texas or Florida adjuster’s license
• Competitive salary