Special Claims Field Investigator

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 SIU team is looking for a Special Claims Investigator to join their team. This individual must have the availability for up to 30% business travel, including overnight, both within their state of residence and to out of state locations. The position is fully remote. Travel is primarily by plane.

Essential Job Functions and Responsibilities

• Detects and prevents fraudulent claims through meticulous investigation and analysis.

• Gathers and analyzes data to identify inconsistencies, potential fraud, and the overall legitimacy of claims.

• Prepares comprehensive reports summarizing investigation findings and recommends claim approval or denial.

• Ensures claims are settled accurately and fairly, minimizing fraudulent activities and protecting the company’s financial interests.

• Contributes to the continuous improvement of investigation processes and techniques, enhancing overall efficiency and effectiveness.

• Performs other duties as assigned.

Job Requirements

• Bachelor’s Degree in Criminal Justice, Risk Management and Insurance, Business Administration, or a related field or equivalent 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.

• Ability for overnight travel.

This job is non-exempt in California and Washington

Business Unit:

Corporate Claims

Salary Range:

$67,000.00 -$79,000.00

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 http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

Originally posted on Himalayas