Claims Fraud Investigator — Zurich Insurance (sede Ticino)
NewCHF 70'500 - 98'500
Zurich Insurance (sede Ticino) · Lugano (TI)
- Location
- Lugano
- Contract
- part-time
- Posted
- Yesterday
SalaryCHF 70'500 - 98'500
Role overview
Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team.
At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move.
Our hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value.
- Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team.
- At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move.
- Primary Responsibilities:
- Conduct investigations into suspected insurance fraud within assigned territories or Lines of Business, including complex, layered, or organized schemes.
- High School Diploma or Equivalent and 6 or more years of experience in Technical Claims Investigations, Law Enforcement, or Insurance Special Investigations AND
Main responsibilities
- Primary Responsibilities:
- Conduct investigations into suspected insurance fraud within assigned territories or Lines of Business, including complex, layered, or organized schemes.
- Evaluate all aspects of referred claims, including loss circumstances, backgrounds of involved parties, documentation validation, and underwriting considerations.
- Perform database research, open source intelligence reviews, social media assessments, and link analysis to identify inconsistencies or coordinated fraud indicators.
- Assign and oversee vendor activities such as surveillance, scene investigations, and specialized investigative tasks; review deliverables and ensure proper documentation.
- Conduct recorded interviews, site visits, canvasses, and other investigative steps to verify material facts and identify fraud indicators.
- Maintain highly organized case files and documentation that accurately reflect investigative actions and findings.
- Analyze evidence to determine potential misrepresentation, fraud, or network linked activity involving multiple claims.
- Prepare clear, comprehensive investigative reports with objective findings and recommendations for claims teams and management.
- Communicate critical investigative developments promptly and collaborate closely with claims partners throughout the investigative process.
Key requirements
- High School Diploma or Equivalent and 6 or more years of experience in Technical Claims Investigations, Law Enforcement, or Insurance Special Investigations AND
- Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team.
- At Zurich, we value your ideas and experience.
Application process
- If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us.
Additional details
- Travel as necessary to conduct interviews, inspections, and field investigations. Basic Qualifications:
- Bachelor’s Degree and 4 or more years of experience in Technical Claims Investigations, Law Enforcement, or Insurance Special Investigations
- Zurich Certified Insurance Apprentice (Associate Degree) and 4 or more years of relevant experience
- High School Diploma or Equivalent and 6 or more years of experience in Technical Claims Investigations, Law Enforcement, or Insurance Special Investigations
- Knowledge of claims processes and relevant fraud related regulations Proficiency in Microsoft Office
- Special Investigation Unit (SIU) experience preferred Experience investigation commercial claims Arizona Virtual Office, AM California Virtual Office, AM Nevada Virtual Office, AM Utah Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No
Notes and original content
- Travel as necessary to conduct interviews, inspections, and field investigations.
- Basic Qualifications:
- Knowledge of claims processes and relevant fraud related regulations
- Proficiency in Microsoft Office
- Special Investigation Unit (SIU) experience preferred
- Experience investigation commercial claims
- Please note: Zurich does not accept unsolicited CVs from agencies.
- Location(s): AM
- Arizona Virtual Office, AM
- California Virtual Office, AM
