Claim Investigator Associate

• Conduct thorough investigations of insurance claims, including reviewing documents, evidence, and supporting data.
• Verify the authenticity and accuracy of claims by analyzing medical records, financial information, and other relevant documents.
• Perform field investigations when necessary, including interviews with claimants, witnesses, agents, or related parties.
• Identify potential fraud indicators and escalate suspicious cases for further action.
• Collaborate with internal teams (claims, underwriting, legal, and compliance) to ensure proper claim assessment.
• Prepare investigation reports with clear findings, conclusions, and recommendations.
• Maintain proper documentation and case records in line with company standards.
• Support in developing and improving fraud detection

Qualifications

• Bachelor’s degree in Insurance, Law, Business, Finance, or a related field.
• Minimum 1–3 years of experience in claims handling, investigation, audit, or a related role (insurance industry preferred).
• Strong analytical and investigative skills.
• Knowledge of insurance claim processes, especially life or health insurance, is an advantage.