Claims Investigator

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  "last_changed_at": "2026-05-30T06:08:08.608Z",
  "active_status": "active"
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  "location": {
    "raw": "Guadalajara, Jalisco, 1111, Mexico",
    "city": "Guadalajara",
    "region": "Jalisco",
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    "confidence": 0.8
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  "inferred_at": "2026-06-06T10:25:41.120Z",
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    "location": {
      "city": "Guadalajara",
      "state": "Jalisco"
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    "jobOpeningName": "Claims Investigator",
    "departmentLabel": "Property Damage",
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    "location": {
      "city": "Guadalajara",
      "state": "Jalisco",
      "postalCode": "1111",
      "addressCountry": "Mexico"
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    "datePosted": "2026-05-20",
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    "description": "<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">Claims Investigator </span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">About the Role</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">We are looking for an experienced Claims Investigator to support personal injury accident cases, primarily related to motor vehicle accidents. This role focuses on validating claims, conducting background and social media investigations, and gathering accurate information to support case strategy and claim outcomes. The ideal candidate has a strong insurance or healthcare claims background and is highly detail-oriented.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Key Responsibilities</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Claims Investigation &amp; Validation</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Conduct end-to-end investigations related to personal injury and auto accident claims.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Validate claimant information through records review, interviews, and data verification.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Identify inconsistencies, red flags, or potential fraud within claims.</span></li>\n</ul>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Social Media &amp; Digital Investigation</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Investigate online presence across platforms such as Instagram, Facebook, and other public sources.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Collect, document, and preserve relevant digital evidence to support claim evaluation.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Ensure investigations comply with legal, ethical, and privacy standards.</span></li>\n</ul>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Documentation &amp; Reporting</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Prepare clear, accurate investigation reports with findings and supporting evidence.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Maintain organized case files and investigation logs.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Collaborate with claims, legal, and case management teams to provide actionable insights.</span></li>\n</ul>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Systems &amp; Process Usage</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Utilize internal claims systems, databases, and case management tools effectively.</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Follow established investigation procedures and contribute to process improvements when needed.</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 8pt; font-weight: bold\">Required Skills &amp; Experience</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">5–10 years of experience in claims investigation, insurance claims, healthcare claims, or related fields</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Strong background in insurance-based investigations preferred</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Experience investigating auto accident or personal injury claims</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Familiarity with social media and digital investigations</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">High attention to detail and strong analytical skills</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 8pt\">Experience using claims systems, databases, or case management platforms</span></li>\n</ul>",
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    "jobOpeningName": "Claims Investigator",
    "departmentLabel": "Property Damage",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://legalmanagementgroup.bamboohr.com/careers/428",
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