Claims Fraud Investigator — Zurich Insurance (sede Ticino)
NouveauCHF 70 500 - 98 500
Zurich Insurance (sede Ticino) · Lugano (TI)
- Lieu
- Lugano
- Contrat
- part-time
- Publié
- Hier
SalaireCHF 70 500 - 98 500
Vue d’ensemble du poste
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
Responsabilités principales
- 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.
Exigences principales
- High School Diploma or Equivalent and 6 or more years of experience in Technical Claims Investigations, Law Enforcement, or Insurance Special Investigations AND
Processus de candidature
- If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us.
Détails supplémentaires
- 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 et contenu original
- 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
