Claims Investigator
BayOne Solutions
Property damage claim handling experience, excellent communication and organizational skills Job Responsibilities Investigate, negotiate, and settle third party property damage. Investigate and report on incidents that may potentially lead to litigation, investigation lawsuits, and reviews tender cases involving contractors and insurance carriers. Conduct interviews with employees and third parties to investigate claims and incidents. Conduct claims data analysis for trending and lessons learned; presents findings to business partners. Review internal *** and external records, files and documents regarding incident investigations, liability and damage evaluation, and claims negotiation and settlements. Qualifications Minimum Bachelor’s (BA/BS) degree or equivalent experience 2 years of experience handling claims investigations Valid driver’s license with a clean driving record Certified Insurance Claims Investigator (CICI) 4 years of experience as a claims investigator or related experience Experience investigating and/or administering bodily injury, property damage, and insurance claims and litigation Utility industry experience Knowledge and understanding of insurance claims, specifically casualty claims adjustment Knowledge and understanding of claims management, investigations, and settlements Knowledge and understanding of tort and contract law Knowledge and understanding of medical terminology Demonstrated ability to interact and engage multiple levels of management, leadership, personnel, and unions within an organization Strong client investigation and resolution skills Strong leadership, organizational, and interpersonal skills Strong business and technical composition skills Strong oral communication and presentation skills Proficient computer skills (i.e.: Microsoft Office applications: Word, Excel, Power Point and Outlook) and experience with information systems #J-18808-Ljbffr
$32 per hour
...Claims Investigator - DigiStream Investigations - Oakland, CA *Must live in the greater Bay Area* Starting Compensation $32.00 hourly Weekly Hours Full-time, 40 hours per week with opportunities for over time Office Location Oakland, CA: full-time in office position, hybrid...SuggestedHourly payFull timeLive inWork at officeMonday to Friday$35 - $36.75 per hour
...Claims Investigator Location: Oakland, CA - role is primarily remote with occasional onsite meetings in Oakland or San Ramon Duration: 1 year contract Pay range: $35.00/hour - $36.75/hour TOP THINGS Property damage claim handling experience Excellent...SuggestedContract workFor contractorsWork at officeRemote workFlexible hours$30 - $35 per hour
...Job Description Job Description Claims Investigator Location: Oakland, CA Onsite Flexibility: Hybrid Contract Details Position Type: Contract Contract Duration: 14 months Pay Rate: $30.00 $35.00 / Hour (USD) Work Authorization: Applicants must...SuggestedContract workFor contractorsWork at officeRemote workHome officeWork visa- ...TRAVELING OUTSIDE OF HOME OFFICE. TOP THINGS LOOKING FOR: Property damage claim handling experience, excellent communication and organizational skills Job Responsibilities - Investigate, negotiate, and settle third party property damage. - Investigate and...SuggestedContract workFor contractorsWork at officeRemote workHome office
- ...Blue Shield of CA is seeking a Special Investigations Investigator, Consultant to join the SIU team in Oakland. You will conduct investigations into health care fraud, waste, and abuse, adhering to company policies, legal requirements, and applicable regulations. The...Suggested
- Job OpportunitySignature Companies is coming to California! We are prospecting potential High Value Residential Insurance Inspectors in the Oakland area Are you looking for a new career that allows you to work independently, is flexible, and challenging everyday, then ...For contractorsWork from homeHome officeFlexible hours
- ...Criminal Investigator This vacancy is for a GS-1811-9/11, Criminal Investigator located in the Department of Homeland Security, U.S. Coast Guard, COAST GUARD INVESTIGATIVE SERVICE -CG-CGIS. This is a re-announcement to Job Announcement Number 26-13026448-HQ-EP-DE....
- ...routine testing of medical devices related to customer complaints in a laboratory environment. The role emphasizes documenting investigation activities and handling tasks efficiently with minimal supervision. Ideal candidates will have a high school diploma or 1-2 years...
$121.9k - $344.4k
...Investigators in Pediatric Research The Department of Pediatrics at the University of California, San Francisco (UCSF) is recruiting faculty candidates for its Program in Pediatric Research. These positions will support investigators across the spectrum of basic, translational...Traineeship- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The...Full timeWork experience placementWork at officeLocal area
$70 per hour
...Remote Role Responsibilities Construct enterprise fraud scenarios for large-scale transaction monitoring, multi-stakeholder investigation workflows, and complex regulatory reporting cycles at Fortune 500 institutions. Build tasks across F500 payment fraud,...Remote jobContract workSummer work- The Mental Health Association of Alameda County (MHAAC) seeks a Monitoring Investigations Specialist to investigate complaints of abuse, neglect, or patients' rights violations in Alameda County mental health facilities. The role involves field visits, interviews, evidence...Work at office
$150k
...Integrity – Collaboration – Relationships – Excellence – Creativity – Results Join Us, Concentric – "Your World Secured" Insider Threat Investigator We’re currently looking to hire an Insider Threat Investigator to join our team embedded with our client in San Francisco. This...Full timeCurrently hiringLocal areaRemote workWorldwideMonday to FridayFlexible hoursShift workNight shiftWeekend work- ...Representative to work remotely as part of our Policies and Abuse team. You will enforce policies, review content for compliance, and investigate account activity to protect users and brands. You will communicate policy decisions clearly, collaborate with Customer...Remote work
$89.17k - $112.94k
...Senior Fraud Investigations Analyst Gusto is seeking a Senior Fraud Investigations Analyst to join our Fraud Investigations team. In this role, you will independently conduct the most complex end-to-end fraud investigations involving account takeover, business email...$70.35k - $205.8k
...We Are: Accenture Security is one of the fastest growing areas of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is at the heart of how we help clients prepare for, respond to, and recover from the most consequential cyber incidents...Work experience placementLive inWork at officeLocal area- Clipboard is seeking a Trust & Safety Analyst to safeguard our marketplace by managing safety incidents from start to finish with empathy and decisive action. You’ll classify incidents, assess risk, and drive improvements that strengthen platform integrity. You will work...Remote work
$51.44k - $66.13k
...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced Department: Legal Services... ...large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank...Full timeWork at officeLocal areaFlexible hours- ...Job Description Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate...Full timeLocal areaNight shiftWeekend work
- ...to detect theft and fraud, collect evidence, and conduct interviews in compliance with policy and local law. You will document investigations, coordinate with Store leadership, and assist in maintaining safety standards. The role requires travel to designated stores, court...Local area
$197.2k
...Summary This position is located in the OIG - Office of Investigations and is responsible for conducting investigative activities in one or more of the OI offices. The incumbent plays a crucial role in leading and participating in interagency task force projects and...Full timeWork at office- ...Fraud investigators across payments, insurance, AML, and corporate cases to build the investigation scenarios frontier AI labs use to test model judgment. AfterQuery builds the expert evaluation data that frontier AI labs use to measure and improve their models. We're...Weekly payContract workFor contractorsRemote work10 hours per week
$127k - $333.7k
...Allergy/Immunology - Clinical Investigator or Clinician Educator The Department of Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine is seeking board certified/board eligible allergists/immunologists for a full-time faculty position. The selected...Full timeTraineeship- About Cal Inspection Bureau Approaching nearly 36 years of business, Cal Inspection Bureau, Inc. has a staff of professional, highly trained insurance inspectors performing underwriting surveys throughout the United States. We are a state of the art paperless operation...Remote jobContract workFor contractorsLive inWork at office
$300k
...approved medication in Alzheimer’s Disease. Irvine Clinical Research is hiring a Neurologist who will serve as a Principal Investigator. The physician will oversee Phase 1, 2, and 3 clinical trials of some of the most promising drugs under investigation in memory...Full timeWeekend work$89.17k - $112.94k
...requirements vary by role and will be assessed during the interview process. About the Role: Gusto is seeking a Senior Fraud Investigations Analyst to join our Fraud Investigations team. In this role, you will independently conduct the most complex end-to-end fraud...Full timeWork at officeLocal areaRemote work2 days per week3 days per week$4,256 - $6,591 per month
...for individuals seeking guidance and assistance with submitting claims, complaints, applications, and/or reports. Responsibilities... ...Active listening and fact gathering to achieve comprehensive investigation. Questioning and clarifying skills to grasp both the facts...Permanent employmentFull timeWork at officeLocal area$4,256 - $6,591 per month
...enforcement of employment laws. This position is in our Wage Claims Adjudication Unit. To learn more about this program, visit:... ...unit, the Labor Compliance Representative (LCR) conducts intake investigations and less complex assignments for settlement conferences or inspections...Permanent employmentFull timeWork at office$100k - $115k
...Job Description Job Description Reporting to the Director, Compliance and Oversight, the Investigator, Program Integrity supports the San Francisco Health Plan (SFHP) Compliance Program through fraud, waste, and abuse investigations, audits, and monitoring activities...Work at officeRemote work- ...Job Description Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate...Local areaNight shiftWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Investigator. Be the first to apply!




