Claims Investigator

Claims Investigator 

About the Role

We are looking for an experienced Claims Investigator to support personal injury accident cases, primarily related to motor vehicle accidents. This role focuses on validating claims, conducting background and social media investigations, and gathering accurate information to support case strategy and claim outcomes. The ideal candidate has a strong insurance or healthcare claims background and is highly detail-oriented.

Key Responsibilities

Claims Investigation & Validation

Conduct end-to-end investigations related to personal injury and auto accident claims.

Validate claimant information through records review, interviews, and data verification.

Identify inconsistencies, red flags, or potential fraud within claims.

Social Media & Digital Investigation

Investigate online presence across platforms such as Instagram, Facebook, and other public sources.

Collect, document, and preserve relevant digital evidence to support claim evaluation.

Ensure investigations comply with legal, ethical, and privacy standards.

Documentation & Reporting

Prepare clear, accurate investigation reports with findings and supporting evidence.

Maintain organized case files and investigation logs.

Collaborate with claims, legal, and case management teams to provide actionable insights.

Systems & Process Usage

Utilize internal claims systems, databases, and case management tools effectively.

Follow established investigation procedures and contribute to process improvements when needed.

Required Skills & Experience

5–10 years of experience in claims investigation, insurance claims, healthcare claims, or related fields

Strong background in insurance-based investigations preferred

Experience investigating auto accident or personal injury claims

Familiarity with social media and digital investigations

High attention to detail and strong analytical skills

Experience using claims systems, databases, or case management platforms