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claims adjustment specialist i

claims investigator

Advantage Investigations

<div><div>For the past 28 years, Advantage Investigations has been the Nation&rsquo;s only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality results&mdash;ultimately helping our clients &quot;See What&rsquo;s True.&quot;</div><div></div><div> 
With over 200+ licensed private investigators Nationwide, Advantage uses strategic planning and technology to give our clients greater clarity on a claimant's daily activities. Providing Covert Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we&rsquo;re able to save our clients time and money on insurance fraud cases.</div><div></div> 
Advantage Investigations is seeking a Part-Time SIU/Claims Investigator in New York, NY/Surrounding Areas. The qualified candidate will be responsible for conducting investigations of auto, property, homeowner liability and worker&rsquo;s compensation insurance claims in support of client objectives and Company quality standards. As an SIU/Claims Investigator, you will be provided with a comprehensive training program, door to door pay, and mileage reimbursement at the IRS rate. This position requires daily travel within the investigator&rsquo;s area/territory.<div> 
Duties &amp; Responsibilities:</div><div><ul><li>
Conduct investigations of auto, property, liability, and worker&rsquo;s compensation claims</li><li>
Independently reviews the assignment, supporting documentation and all other case information prior to commencing the on-site assignment.</li></ul></div><ul><li>
Consults with the Manager on appropriate strategies for individual cases, before and throughout the investigative process.</li><li>
Locate subjects of the assigned investigation and conduct applicable case investigation, to include recorded statements and scene investigations etc.</li><li>
Creates and maintains written daily updates, supporting photos, audiotapes, diagrams, and final investigative reports for in a timely and professional manner</li><li>
Time management and communication skills</li><li>
Ability to handle confidential information and material</li></ul> 
Qualifications &amp; Requirements:<ul><li>
3 years claims investigative experience preferred</li><li>
3 years investigative experience required</li></ul><div><ul><li>
Bi-Lingual a plus</li></ul></div><ul><li>
Private Investigator License required in most states</li></ul><ul><li>
Full comprehension of case management systems</li><li>
Able to proactively conduct follow-ups as needed</li><li>
Good Oral and Written Communication Skills</li><li>
Proficient in computer technology &ndash; including Microsoft office type products, email, and the ability to produce quality, well-written reports</li><li>
Self-Starter/Disciplined work ethic with ability to ask relevant questions when needed, and work indecently</li><li>
Meet state mandated requirements to obtain and maintain a Private Investigator license multiple states</li><li>
Daily access to a reliable vehicle</li><li>
Valid Driver&rsquo;s License</li><li>
Ability to provide MVR (driving record)</li><li>
Pass Drug Screen</li></ul> 
Compensation: Investigators are paid door to door an hourly rate commensurate with experience within $25.00 to $30.00 an hour. Employees are paid on a bi-weekly basis. 
Company Benefits:<ul><li>
Door to Door hourly pay</li><li>
Mileage Reimbursement at IRS rate</li><li>
401k with match</li><li>
Flexible Schedule</li></ul> 
Advantage Investigations is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</div>

SIU Investigator

Command Investigations

<div>Description:

Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part of a dynamic team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive to succeed in a fast-paced investigative environment.
Why You Will Love Working with Command Investigations, LLC?
At Command Investigations, we are invested in YOU! We know, together, we can Lead with Excellence to provide top tier Service with Integrity that drives Results!
Pay: $28.00 &ndash; $32.00 per hour 
Schedule: Part-time, on-call. Due to the nature of this role, there is no guarantee of hours or case assignments; however, we pride ourselves on distributing available cases fairly.
Our employees have opportunities to grow within a nationally recognized organization in an exciting and evolving industry.
How We Take Care of You (for Full Time positions):<ul><li>
Accrued Paid Time Off</li><li>
Medical, Dental, Vision, and Life Insurance</li><li>
401(k) Plan</li><li>
Employee Referral Program</li></ul>
At Command, we take care of our own. Our benefits plan helps keep you and your family healthy, happy, and secure.
What You will Do:
In this role, you will conduct claims investigations by gathering evidence, interviewing involved parties, documenting findings, and preparing comprehensive, detailed reports for client review.<ul><li>
Conduct investigations related to insurance claims, including workers&rsquo; compensation, general liability, auto, and property cases</li><li>
Obtain in-person recorded statements from claimants, witnesses, and involved parties</li><li>
Capture detailed scene photographs to support investigative findings</li><li>
Prepare comprehensive, factual, and well-organized investigative reports within required deadlines</li><li>
Review case materials and identify inconsistencies or areas requiring further inquiry</li><li>
Communicate effectively with clients and internal teams to provide case updates and ensure investigative objectives are met</li><li>
Utilize sound judgment and discretion while maintaining confidentiality and compliance with company standards</li><li>
Manage multiple case assignments simultaneously while prioritizing tasks to meet strict due dates</li><li>
Operate investigative equipment, including digital recorders and cameras, with proficiency and accuracy</li></ul>
Special Note: This role requires you to supply your own equipment, including but not limited to, a camera and a digital recorder. Certain equipment specifications or minimum standards may apply.
Requirements:

What We are Looking For:<ul><li>
Exceptional attention to detail and accuracy</li><li>
Strong work ethic with a willingness to learn and adapt</li><li>
Team-oriented mindset and open-minded attitude</li><li>
Ability to thrive in a focused, detail-driven, and repetitive environment</li><li>
Strong computer skills and working knowledge of Microsoft Suite, specifically in Word and Outlook</li><li>
Excellent written and verbal communication skills</li></ul>
What You Will Bring:<ul><li>
3-5 years of experience working as a field investigator required</li><li>
Prior experience with multi-lines investigations strongly preferred</li><li>
Reside within a 60-mile radius of the posted location required</li><li>
Multi-lingual is a plus</li><li>
High school diploma or equivalent required</li><li>
College degree strongly preferred</li><li>
Proficient reading skills and ability to follow directions required</li><li>
Must be able to work independently, provide excellent customer service, and demonstrate strong interpersonal, organizational, and multi-tasking skills. Flexibility and effective time management are required</li><li>
Flexible to work overtime preferred</li><li>
Regular, predictable, and full attendance, as assigned, is an essential function of the job</li><li>
Willingness to work the required schedule</li><li>
Complete a Command Investigations, LLC employment application, submit to pre-employment tasks as required for employment</li></ul>
Physical Requirements:
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
The employee will be required to remember and understand certain instructions, guidelines, or other information.</li><li>
The employee should have the ability to lift up to and including 25lbs/11.34kg on occasion.</li><li>
The employee will be required to sit, stand, and/or walk for long periods at a time.</li><li>
The employee will be required to enter text or data into a computer or other machine by means of a traditional keyboard. Traditional Keyboard refers to a panel of keys used as the primary input device on a computer, typographic machine, or 10-Key numeric keypad.</li><li>
Specific vision abilities required for this position include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. The associate must be able to hear, understand, and distinguish speech and surrounding sounds, such as traffic, environmental noises, or standard office activity.</li></ul>
About Command Investigations
Command Investigations, founded in 2012, is a nationally recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services to the insurance defense industry. Grounded in core values of integrity, service, and results, we deliver fast, reliable outcomes and treat every client like they are our only client. Our team leverages cutting-edge technology to stay at the forefront of the industry. With headquarters in Lake Mary, Florida, our experts provide services across the U.S. on a national scale.
Command Investigations, LLC is an Equal Opportunity Employer.</div>

SIU - Experienced Field Investigator - Part-Time

Ethos Risk Services

<div>ABOUT US:
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients. 
JOB SUMMARY:
Our dynamic Ethos team is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and analyze evidence, and produce detailed reports that support claims decisions. You'll work both independently and collaboratively, often traveling to accident scenes, interviewing witnesses, and uploading documentation into our claims system. 
KEY RESPONSIBILITIES:<ul><li>
Scene Investigations: Conduct thorough on-site investigations of accidents and property losses.</li><li>
Interviews &amp; Statements: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved.</li><li>
Online Research: Gather case information through digital sources and background checks.</li><li>
Report Writing: Draft thorough, detailed investigative reports summarizing findings and observations.</li><li>
Case Documentation: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved, and retrieve relevant documents to support investigative findings.</li><li>
Case Management: Track case progress, time, and expenses accurately within Ethos systems.</li><li>
Fraud Detection: Recognize compensability issues, misrepresentation, and other red flags in claims.</li><li>
Client Communication: Maintain professional contact with clients and claim handlers throughout the investigation process.</li></ul> 
QUALIFICATIONS:
Education: Associate's or Bachelor's degree in Criminal Justice or a related field preferred.
Experience:<ul><li>
Minimum of 2 years of SIU experience with an investigative firm or insurance carrier, working across various lines of business such as liability, auto, and property.</li><li>
Former military or law enforcement background preferred.</li></ul>
Licenses/Certifications:<ul><li>
Active Private Investigator license or willingness to obtain one (where required by state).</li><li>
Active driver's license and valid auto insurance.</li></ul>
Other Requirements:<ul><li>
A well-maintained and reliable vehicle for exclusive use.</li><li>
SIU equipment, including a recorder and a high-quality digital camera.</li><li>
A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.</li></ul> 
WORKING CONDITIONS:<ul><li>
While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required.</li><li>
Occasional weekend work may be required to align with case demands and or/client requests.</li></ul> 
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.</div>

Special Investigations Unit (SIU) - Field Investigator

Hereford Insurance Company

<div>
 
 
 Description:
 
 Responsible for the investigation, evaluation and negotiation of bodily injury claims. Must be able to manage multiple disciplines and have good analytical, documentation and negotiation skills. Must handle non-litigated bodily injury claims.
 
 
 
 Essential Duties &amp; Responsibilities:
 
 
 
 Initiate the relevant investigation required upon receipt of new losses. Obtain statements from all parties involved, either written or verbal. Document all activities on the claims notepad. Index all injured claimants. Maintain a diary on all files. Make liability determinations based on appropriate investigation. Obtain and review medical records to determine injury value. Maintain appropriate claim reserves. Adhere to HIC policy relating to reserve and settlement authority. Complete large loss reports in compliance with HIC policy. Negotiate settlements with claimants and/or attorneys. Contact other carriers to obtain injury information.
 
 
 
 Other Duties/Qualifications:
 
 This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor. Understand liability, comparative negligence, and how to apply it. Strong negotiation skills. Computer literacy. Adhere to HIC policy and procedures. Follow supervisory instruction
 
</div>

Bodily Injury Adjuster (Remote – NJ/NY)

Sompo

<div>
 Sompo is seeking a
 
 Summer 2026 Claims Intern
 
 for our
 
 Financial Lines Claims Group
 
 in our
 
 New York, New York
 
 office.
 
 
 The Internship Program is a 10-week development initiative designed to provide professional growth with potential long-term opportunity for successful individuals interested in the insurance/reinsurance industry.
 
 
 As a Claims Intern, you will utilize your legal background to analyze corporate insurance coverage and liability and damages in complex high-profile litigation filed against D&amp;Os (Directors and Officers) of public and private companies and financial institutions. You will learn about, among other things, securities litigation, derivative lawsuits, merger &amp; acquisition litigation, and regulatory investigations brought by the SEC and the DOJ arising out of the management of Fortune 500 companies and shareholder and investor disputes including lawsuits alleging breach of fiduciary duty, self-dealing, and minority shareholder unfair treatment; and financial distress and bankruptcy litigation arising out of the management of private companies.
 
 
 
 What can I expect as an Intern?
 
 
 
 
 
 On the Job Learning
 
 
 
 
 Our interns are immersed in the day-to-day activities of their team, to keep the underwriting and global claims team current on loss trends and market intelligence and to ensure timely and accurate reporting of exposure to underwriting and management. As part of Sompo&rsquo;s Financial Lines Claims Group, you will contribute to the success of the team by working closely with your colleagues and manager on various projects.
 
 
 
 
 Activities, Learning and Development
 
 
 
 
 Throughout the program, you'll have the opportunity to: hear from executive leaders; participate in structured engaging leadership learnings and networking events and activities with peers, members of Sompo&rsquo;s executive team and outside brokerage firms; and prepare a presentation to their manager and mentor.
 
 
 
 What You'll Need As An Intern
 
 
 
 <ul>
 <li>
 Current enrollment in a Juris Doctor program
 </li>
 <li>
 Excellent verbal and written communication skills
 </li>
 <li>
 Strong analytical, quantitative and interpersonal skills
 </li>
 <li>
 Ability to work in a fast-paced team environment with rapidly changing priorities and demands
 </li>
 <li>
 Strong proficiency using Microsoft Office (Excel, Word, PowerPoint)
 </li>
 <li>
 Eligible candidates must be authorized to work in the United States without restriction
 
 
 </li>
 </ul>
 
 Salary Range: $22/hour
 
 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
 
 
 
 What does Sompo stand for?
 
 
 
 Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo International, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.
 
 
 Sompo International is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone&rsquo;s unique contributions &ndash; we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.
</div>

Claims Intern

NYC Department of Health and Mental Hygiene

<div>
 ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE INVESTIGATOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY.
 
 
 
 Division/Program Summary
 
 
 
 The Bureau of Child Care ensures that childcare services in New York City operate in compliance with the New York City Health Code and New York State Social Service regulations and are licensed or permitted as required by law. The Bureau routinely monitors childcare programs to protect the health and safety of children while in the childcare environment and actively works to improve and expand access to high quality programs which support early childhood development and learning.
 
 
 The Bureau seeks to hire an Investigator to serve as Clearance Administrator who will conduct comprehensive background checks for childcare staff.
 
 
 
 Position Summary
 
 
 
 The Investigator/ Clearance Administrator will process comprehensive background checks of childcare providers in the Bureau of Child Care&rsquo;s Central Clearance Unit.
 
 
 
 Job Duties And Responsibilities
 
 
 
 <ul>
 <li>
 Review background clearance applications for completeness and accuracy, and process all required checks within designated timeframe.
 </li>
 <li>
 Manage a caseload of background clearance requests for licensed and prospective childcare providers.
 </li>
 <li>
 Examine, analyze and verify records, documents and other information.
 </li>
 <li>
 Draft determination letters and conduct related outreach to providers and staff of childcare programs regarding clearances.
 </li>
 <li>
 Provide technical assistance to childcare operators and staff regarding background clearances necessary to attain, renew or maintain a license to provide services.
 </li>
 <li>
 Ensure proper storage and handling of confidential information and update databases in accordance with protocols.
 </li>
 <li>
 Assist childcare providers by liaising between City and State agencies, community groups, parents and the general public related to Early Childhood Education.
 
 
 </li>
 </ul>
 
 Why You Should Work For Us
 
 
 
 <ul>
 <li>
 Benefits: City employees are entitled to unmatched benefits such as:
 </li>
 <li>
 a premium-free health insurance plan that saves employees over $10K annually, per a 2024 assessment.
 </li>
 <li>
 additional health, fitness, and financial benefits may be available based on the position&rsquo;s associated union/benefit fund.
 </li>
 <li>
 a public sector defined benefit pension plan with steady monthly payments in retirement.
 </li>
 <li>
 a tax-deferred savings program and
 </li>
 <li>
 a robust Worksite Wellness Program that offers resources and opportunities to keep you healthy while serving New Yorkers.
 </li>
 <li>
 Work From Home Policy: Depending on your position, you may be able to work up to two days during the week from home.
 </li>
 <li>
 Job Security - you could enjoy more job security compared to private sector employment and be able to contribute to making NYC a healthy place to live and work.
 
 
 </li>
 </ul>
 Established in 1805, the New York City Department of Health and Mental Hygiene (NYC Health Department) is the oldest and largest health department in the U.S., dedicated to protecting and improving the health of NYC. Our mission is to safeguard the health of every resident and cultivate a city where everyone, regardless of age, background, or location, can achieve their optimal health. We provide a wide array of programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, environmental health, mental health, and social justice initiatives. As the primary population health strategist and policy authority for NYC, with a rich history of public health initiatives and scientific advancements, from addressing the 1822 yellow fever outbreak to the COVID-19 pandemic, we serve as a global leader in public health innovation and expertise.
 
 
 Come join us and help to continue our efforts in making a difference in the lives of all New Yorkers!
 
 
 
 Commitment To Equity
 
 
 
 The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
 
 
 The NYC Health Department is an inclusive equal opportunity employer committed to providing access and reasonable accommodation to all individuals. To request reasonable accommodation to participate in the job application or interview process, contact Sye-Eun Ahn, Director of the Office of Equal Employment Opportunity, at sahn1@health.nyc.gov or 347-396-6549.
 
 
 INVESTIGATOR - 31105
 
 
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 A four-year high school diploma or its educational equivalent approved by a State's Department of Education or a recognized accrediting organization, and three years of satisfactory full-time
 
 
 </li>
 </ul>
 experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment; or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or
 
 
 <ul>
 <li>
 An associate degree from an accredited college or university or 60 semester credits from an accredited college and two years of satisfactory full time experience as described in &ldquo;1&rdquo; above; or
 </li>
 <li>
 A baccalaureate degree from an accredited college or university; or
 </li>
 <li>
 A satisfactory combination of education and/or experience equivalent to &ldquo;1&rdquo;, &ldquo;2&rdquo;, or &ldquo;3&rdquo; above.
 
 
 </li>
 </ul>
 
 Preferred Skills
 
 
 
 <ul>
 <li>
 Excellent oral, written and interpersonal communication skills. - Highly organized, strong attention to detail, and solution oriented. - Ability to multitask in a fast-paced environment. - Working knowledge of childcare regulations desired but not required. - Experience with data entry and querying large datasets a plus.
 
 
 </li>
 </ul>
 55a Program
 
 
 This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.
 
 
 Public Service Loan Forgiveness
 
 
 As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education&rsquo;s website at https://studentaid.gov/pslf/.
 
 
 Residency Requirement
 
 
 New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.
 
 
 Additional Information
 
 
 The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
 
 
 , $48,206.00 &ndash; $55,437.00
</div>

Clearance Administrator

Columbia University

<div><ul><li>Job Type: Officer of Administration</li>
<li>Bargaining Unit:</li>
<li>Regular/Temporary: Regular</li>
<li>End Date if Temporary:</li>
<li>Hours Per Week: 35</li>
<li>Standard Work Schedule:</li>
<li>Building:</li>
<li>Salary Range: $66,300.00 - $80,000.00</li>
</ul><div>The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.</div> 
<div></div>

Position Summary

The candidate should be highly motivated, interested in pediatric diseases, have excellent interpersonal skills and an interest in academic research. We are looking for someone who can establish good rapport with children, adults and families as well as the clinical, research, and administrative teams. We emphasize the importance of team unity as central to our success.

The candidate will report to the Principal Investigator (PI), Dr. Chiriboga, and the research supervisor and will be responsible for subject recruitment and the conduct of clinical studies. Additional responsibilities include maintaining compliance with existing policies and procedures at Columbia University, the IRB, and the CTSA, that relate to clinical research.

Responsibilities
<ul>
<li>Participation in pre-study, initiation, monitoring and close out visits</li>
<li>Submission of FDA IND studies and PI initiated research protocols to other regulatory institutions in US</li>
<li>Implementation of clinical trials from initiation, including assistance with the development of standard operating procedures and case report forms</li>
<li>Recruitment and coordination of the clinical trial participants covering informed consent, screening, and inclusion of the subjects adhering to safety and compliance issues.</li>
<li>Coordination and management of the clinical trial, communication with sponsor and monitors, visit coordination, sample acquisition and processing.</li>
<li>Reporting and documentation of protocol deviations and exemptions as well as development and implementation of corrective action plans for review by the Principal Investigator as needed</li>
<li>Data collection and management, collection of source documents, registration, and management of adverse events, filing and archiving, managing monitoring visits and managing queries.</li>
<li>Close-out of the clinical trial, contributing to manuscripts, audit preparation, trial completion, and communication with authorities. Other responsibilities include assisting with the final study report and completing financial obligations.</li>
<li>Other duties assigned as needed by the division.</li>
</ul>
Minimum Qualifications
<ul>
<li>Bachelor's degree or equivalent in education and experience, plus three years of related experience</li>
</ul>
Other Requirements
<ul>
<li>This is an on-site position</li>
</ul>
Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.</div>

Clinical Research Coordinator II

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