Claims Investigator

Case Management & Communication

• Receive, review, and manage assigned cases from start to completion.
• Communicate professionally with clients, claimants, witnesses, and other involved parties.
• Provide timely case updates and correspondence in accordance with company guidelines via CaseLink.
• Maintain objectivity and professionalism in all interactions.

Investigative Field Work

• Conduct recorded statements at various locations, including claimants’ homes, workplaces, medical offices, and public settings.
• Ask open-ended questions, interpret responses, and conduct appropriate follow-up without reliance on scripted questionnaires.
• Perform scene and neighborhood canvasses, including walking on varied terrain.
• Meet with treating physicians and medical offices as required.
• Travel to designated locations, including overnight stays when necessary.
• Respond to rush cases within business hours when required.

Documentation & Reporting

• Enter case updates, notes, hours worked, mileage, and expenses into CaseLink on a daily basis.
• Upload all obtained statements, documents, recordings, photographs, and evidence to CaseLink the same day they are acquired.
• Compose clear, concise, and grammatically correct case updates within 24 hours of obtaining statements.
• Prepare and submit comprehensive investigative reports within 72 hours of final update submission.

Evidence & Records Handling

• Retrieve records from agencies and entities both in-person and remotely.
• Take clear photographs and video when necessary and label all electronic files accurately.
• Securely collect, store, and maintain custody of evidence when required.
• Maintain organized and protected case files and establish backup procedures to safeguard data in the event of technical failure.

Additional Responsibilities

• Identify and recommend additional investigative services outside the scope of the original assignment when appropriate.
• Work overtime as needed to meet case demands and deadlines.
• Maintain an efficient, safe, and organized telecommuter workspace.

Physical & Work Environment Requirements

• Ability to sit for extended periods performing computer-based work and report writing.
• Ability to stand for extended periods while conducting interviews and canvasses.
• Ability to lift and carry items weighing between 5–30 lbs (e.g., laptop, briefcase, equipment).
• Ability to operate digital audio recording equipment.

Qualifications

• Experience with workers’ compensation claims and investigative processes.
• Strong written and verbal communication skills.
• Ability to work independently, manage time effectively, and meet strict deadlines.
• Willingness and ability to travel up to (but not limited to) 150 miles per assignment.
• Possession of a personal credit card with available balance for reimbursable business expenses.
• Proficiency with case management systems; CaseLink experience preferred.
• Access to a personal scanner for document upload and record handling.

Preferred Qualifications

• Prior experience conducting recorded statements and field investigations.
• Experience with process service assignments.
• Familiarity with evidence handling and documentation standards.
• Background in insurance investigations or a related field.

What You'll Need to Apply

• Valid driver’s license with a clean driving record
• Access to a working computer, digital recorder, and multi-page scanner/copier
• Ability and willingness to travel up to 150 miles, including same-day and overnight trips
• Flexible availability, including early mornings, occasional weekends, overtime, and short-notice rush cases
• Personal credit card with available balance for reimbursable business expenses
• Ability to lift up to 30 lbs, sit for long periods, and walk varied terrain for fieldwork
• Comfortable working remotely in a secure, distraction-free home office environment
• Proficient in Microsoft Word and familiar with case management tools