Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Special Claims Desk Investigator

$70k - $80k
Full-time

Great American Insurance Group

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American's Special Investigation Unit (SIU) stands to prevent, detect and investigate instances of potential insurance claims fraud, collaborating with business units in the proper handling and required reporting of fraudulent claims while exhibiting high professional standards of conduct. Our Special Investigation Unit is looking for a Special Claims Desk Investigator to join their Major Case Unit team. This individual will work fully remote. Essential Job Functions and Responsibilities Conducts specific investigations for claims cases involving suspected ring activity: Investigates all suspect fraud referrals. Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims. Identifies trends and patterns of suspected fraudulent activity. May personally handles field investigations or assigns field work (i.e., surveillance, statements, etc.) to independent investigation firms. Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel. Prepares investigation reports and detailed comprehensive reports. Evaluates claims and recommends courses of action to management. May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution. May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud. May provide guidance to less experienced staff and serve as a resource to other functional areas. Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations: May participate in identifying enhancements to improve performance and functionality of technology applications. May participate in testing the application. Performs other duties as assigned. Job Requirements Education: Bachelor’s Degree or equivalent experience. Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline. Experience: Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience. Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred. This job is non-exempt in California and Washington Business Unit: Corporate Claims Salary Range: $70,000.00 -$80,000.00 Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at *Excludes seasonal employees and interns. Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength. Why can you trust Great American Insurance Group? For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations. You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to “Be Here. Be GREAT!” To learn more, visit our Career Page

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Special Claims Desk Investigator in Ohio vacancy
  • $70.17k - $74.21k

    Job Title Special Investigator Salary: $70,166 - $74,207 (grant funded position) Division: Ohio Internet Crimes Against Children (ICAC) Task Force. Reports to: Unit Supervisor Location: The Justice Center & ICAC offsite location, 1200 Ontario Street - 9th floor, Cleveland... 
    Suggested
    Work at office
    Shift work

    Cuyahoga County Prosecutor's Office

    Cleveland, OH
    2 days ago
  • $103.24k - $133.2k

    The Federal Bureau of Investigation (FBI) is seeking a special agent with a background in mathematics to conduct investigations into federal laws, cybersecurity, and public safety. Candidates will refine their data analysis skills while protecting the nation from various... 
    Suggested
    Work at office

    Federal Bureau of Investigation (FBI)

    Columbus, OH
    3 days ago
  • $103.24k - $133.2k

    The Federal Bureau of Investigation (FBI) is seeking a special agent with a strong mathematics background. This position offers a unique opportunity to transition to a critical role where you will utilize your data analysis skills to tackle national security threats. Successful... 
    Suggested
    Work at office

    Federal Bureau of Investigation (FBI)

    Cleveland, OH
    3 days ago
  • Liberty Mutual Insurance in Columbus, Ohio is seeking a claims specialist. This role involves conducting investigations, evaluating losses, negotiating settlements, and managing a variety of claims including property and disability. Candidates must reside within specified... 
    Suggested
    Traineeship
    Remote work

    Liberty Mutual Insurance

    Columbus, OH
    4 days ago
  • Delta Group is seeking talented Private Investigators in Cincinnati, Ohio to conduct ethical investigations on Workers’ Compensation and Liability claims through surveillance and factual data collection. The role includes responsibilities such as conducting surveillance... 
    Suggested

    Delta Group

    Cincinnati, OH
    2 days ago
  • First Chicago Insurance Company is looking for an experienced Casualty Claims Specialist based in Cincinnati, Ohio. The role involves reviewing claims, conducting investigations, and processing claims following established office procedures. Candidates should have 3-5... 
    Work at office

    First Chicago Insurance Company

    Cincinnati, OH
    2 days ago
  • Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive Join to apply for the Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive role at U.S. Secret Service Criminal Investigator (Special Agent) - $40,000 Recruitment Incentive Join to apply... 
    Full time
    Apprenticeship
    Overseas

    U.S. Secret Service

    Cincinnati, OH
    3 days ago
  •  ...Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S....  ...For more information or questions about Special Agent positions, please visit Talk to a...  ...) were taken on a pass/fail basis, your claim of superior academic achievement must be... 
    Permanent employment
    Full time
    Part time
    Casual work
    Work at office
    Local area
    Relocation
    Trial period

    Drug Enforcement Administration

    Cincinnati, OH
    1 day ago
  • Great American Insurance Group in Cincinnati, Ohio is seeking a claims handler to manage claims, evaluate compensability, and negotiate settlements. Ideal candidates should have a Bachelor’s degree and 2+ years of property and casualty claims experience. The position offers... 

    Great American Insurance Group

    Cincinnati, OH
    2 days ago
  •  ...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... 
    Full time
    Local area
    Night shift
    Weekend work

    Ethos Risk Services

    Columbus, OH
    29 days ago
  •  ...annual incentive program. Summary: The Sub Investigator has responsibility for the clinical...  ...serious adverse events, and adverse events of special interest are followed and reported in...  ...: Prolonged periods of sitting at a desk and working on a computer Must be able... 

    Velocity-Clinical-Research,-Inc.

    Cleveland, OH
    16 hours ago
  • Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days...  ...providers as warranted. Examines claims for compliance with relevant billing and...  ...investigations. Collaborates with the Special Investigation Unit and other internal areas... 
    Temporary work
    Work at office
    Local area
    2 days per week
    1 day per week

    Elevance Health

    Cincinnati, OH
    3 days ago
  • $60k - $100k

     ...American Senior Benefits Job Opportunity ASB is a premier leader in the insurance industry, specializing in providing clients with tailor-made retirement solutions. We are a subsidiary of Integrity Marketing Group, a powerhouse in the industry that serves over 12 million... 

    American Senior Benefits

    Dayton, OH
    2 days ago
  • $100k

     ...ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention... 
    Weekly pay
    Local area
    Immediate start
    Remote work
    Work from home
    Home office
    2 days per week
    3 days per week

    ARMStrong Insurance Services

    Toledo, OH
    1 day ago
  •  ...accurately, with concise summary. Ensure investigations and resolutions comply with applicable...  ...Funds Transfer (EFT) customer fraud claims according to regulatory guidelines. Perform...  ...require differentiated treatment or specialized resolution. Escalate cases to the Fraud... 
    Work experience placement

    Next Level Business Services, Inc.

    Youngstown, OH
    3 days ago
  •  ...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 into better decision-making for... 
    Local area
    Night shift
    Weekend work

    Ethos Risk Services

    Norwood, OH
    1 day ago
  • $70.17k - $74.21k

    The Cuyahoga County Prosecutor's Office is seeking a Special Investigator in Cleveland, Ohio. This role involves conducting investigations into Internet-facilitated crimes against children and providing technical assistance to law enforcement agencies. With a salary range... 
    Work at office

    Cuyahoga County Prosecutor's Office

    Cleveland, OH
    2 days ago
  • $30.68 per hour

    Job Details Job Title: Safety and Security Compliance Investigator Salary: $30.68 Hourly Job Type: Full Time Location: Columbus, Ohio...  ...security agencies may be accepted depending upon agency and duties. Special Note Employees in this classification will be expected to... 
    Hourly pay
    Full time
    Work experience placement
    Local area
    Trial period
    Monday to Friday

    Columbus City Schools - Ohio

    Columbus, OH
    2 days ago
  •  ...authorized for the duty location of the position. Duties Conduct investigations to ensure compliance with the CSA and its implementing...  ...exchanges. Plan, implement, and participate in multi‑jurisdictional special programs impacting the diversion of pharmaceutical controlled... 
    Local area
    Relocation
    Trial period

    Drug Enforcement Administration

    Cleveland, OH
    2 days ago
  • $64.9k - $84.85k

     ...will transfer to your application.## Job Title:Civil Rights Investigator## Department:Legal Affairs | Civil Rights Compliance OfficeThe...  ...:** Investigations**Career Band:** Individual Contributor - Specialized**Career Level:** S2 Experienced## Additional Information:**The... 
    Work at office
    Local area
    Visa sponsorship
    Work visa
    Shift work
    Day shift

    Ohio State University

    Columbus, OH
    1 day ago
  • $70.4k - $116.2k

     ...1 What Is the Opportunity? Travelers Investigative Services provides industry-first resources...  ...to detect and deter fraudulent claims. Using some of the most comprehensive technology...  ...of a claim. Periodically engages in specialized investigative area, including Medical,... 
    Work at office
    Local area
    Shift work

    Wells Media Group

    Columbus, OH
    2 days ago
  •  ...Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services...  ...our track record of conducting expert, specialized, and accurate investigations....  ...investigations of workers compensation claims, liability investigations, multi-line insurance... 
    Hourly pay
    Daily paid
    Part time
    Remote work
    Flexible hours
    Weekend work
    Afternoon shift

    The Robison Group

    Columbus, OH
    7 hours ago
  • $21.93 per hour

     ...Investigator Assistant Organization: Lottery Commission Agency Contact Name and Information: Ohio Lottery Commission Office of Human...  ...job responsibilities. Perform other duties and work on special projects. Why Work for the State of Ohio: At the State of... 
    Full time
    Part time
    Work at office
    Afternoon shift

    Ohio Jobs

    Cleveland, OH
    2 days ago
  • Elevance Health is seeking an Investigator I to be based in Cincinnati, OH. This hybrid role requires being in-office 1-2 days a week to investigate assigned cases and analyze claim data to detect fraudulent activities. Candidates with a BA/BS and 2 years of experience... 
    Work at office
    2 days per week
    1 day per week

    Elevance Health

    Cincinnati, OH
    2 days ago
  • Mercier Consultancy MD is looking for a highly motivated German Speaking Fraud Investigator to join our team in Bulgaria. This role offers a fully paid relocation package, perfect for those aiming to work in an international environment while advancing their career. Your... 
    Relocation
    Relocation package

    Mercier Consultancy MD

    New Bremen, OH
    2 days ago
  • Mercier Consultancy Group is seeking a highly motivated German Speaking Fraud Investigator to join our team in Bulgaria. This role offers a fully paid relocation package, providing an excellent opportunity to work in an international environment while advancing your career... 
    Relocation
    Relocation package

    Mercier Consultancy MD

    New Bremen, OH
    2 days ago
  • $23.56 - $26 per hour

    The Fraud Investigator position is responsible for detection, prevention, and investigation of potential fraud situations. The role requires research, execution of countermeasures, documentation of investigations, and the ability to work in a fast‑paced environment while... 
    Internship
    Work at office
    Local area
    Flexible hours

    First Financial Bank

    Cincinnati, OH
    4 days ago
  • Elevance Health is looking for a Clinical Fraud Investigator II in Cincinnati, Ohio. This role involves comprehensive analysis and investigation of potential fraud and abuse in healthcare claims. Applicants must have an Associate Degree in Nursing or coding certification... 
    Work at office
    2 days per week
    1 day per week

    Elevance Health

    Cincinnati, OH
    4 days ago
  • $22.01 per hour

     ...Description Benefits Description The primary purpose of the Investigator 2 position is to prepare public assistance fraud cases for scheduled...  ...for county conference, state hearing, collections in small claims court, and/or to in-house legal staff and/or county prosecutor... 
    Hourly pay
    Full time
    Work at office

    Fairfield County, Ohio

    Lancaster, OH
    2 days ago
  • $61.2k - $91.8k

    Elevance Health is seeking an Investigator I to analyze data and review claims for fraudulent healthcare payments. This hybrid role requires at least 1-2 days in-office to foster collaboration. Candidates should have a BA/BS degree and at least 2 years of relevant experience... 
    Work at office

    Elevance Health

    Columbus, OH
    16 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Special Claims Desk Investigator. Be the first to apply!