Special Claims Desk Investigator
$70k - $80kGreat 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
$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...SuggestedWork at officeShift work$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...SuggestedWork at office$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...SuggestedWork at office- 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...SuggestedTraineeshipRemote work
- 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
- 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
- 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 timeApprenticeshipOverseas
- ...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 employmentFull timePart timeCasual workWork at officeLocal areaRelocationTrial period
- 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...
- ...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 timeLocal areaNight shiftWeekend work
- ...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...
- 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 workWork at officeLocal area2 days per week1 day per week
$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...$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 payLocal areaImmediate startRemote workWork from homeHome office2 days per week3 days per week- ...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
- ...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 areaNight shiftWeekend work
$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$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 payFull timeWork experience placementLocal areaTrial periodMonday to Friday- ...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 areaRelocationTrial period
$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 officeLocal areaVisa sponsorshipWork visaShift workDay shift$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 officeLocal areaShift work- ...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 payDaily paidPart timeRemote workFlexible hoursWeekend workAfternoon shift
$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 timePart timeWork at officeAfternoon shift- 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 office2 days per week1 day per week
- 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...RelocationRelocation package
- 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...RelocationRelocation package
$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...InternshipWork at officeLocal areaFlexible hours- 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 office2 days per week1 day per week
$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 payFull timeWork at office$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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Special Claims Desk Investigator. Be the first to apply!


