- Role Title: Senior Claims Investigator (Remote)
- Role Type: Contractor
- Location: Global-Remote
- Job Type: Contractor (~10 hours per week)
Senior Claims Investigation and Evidence Review Experts to contribute to a specialized customer project focused on detecting staged-loss and fraudulent claims. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required - your domain knowledge is what matters.
Scope of Work
- 1. Analyze digital claim evidence including CCTV and dashcam footage, scene photographs, statements, and engineering reports to identify signs of fraud or staged incidents.
- 2. Reconstruct accident or loss events by reviewing visual and documented materials, synthesizing findings to clarify causation and authenticity.
- 3. Provide detailed written assessments suitable for SIU investigators or forensic engineers, outlining clear reasoning behind each determination.
- 4. Identify and articulate patterns or anomalies that may indicate fraudulent activity, leveraging deep forensic and investigative knowledge.
- 5. Collaborate remotely to support the creation of cutting-edge AI datasets, ensuring accuracy and reliability of input data.
- 6. Maintain clear, professional communication through both written reports and verbal discussions as needed for clarifications or feedback.
- 7. Contribute insights and best practices from special investigations, fraud analysis, or forensic engineering to enhance project outcomes.
Preferred Qualifications
- 1. Minimum 7 years of relevant experience in special investigations, SIU, insurance fraud detection, forensic engineering (PE), or fleet safety review.
- 2. Demonstrated expertise in assessing claim evidence, including visual media and technical reports, for legitimacy and causation.
- 3. Strong analytical and critical thinking skills with a proven ability to detect subtle signs of staged-loss and organized fraud schemes.
- 4. Exceptional written and verbal communication abilities, with emphasis on constructing clear, evidence-based findings.
- 5. Experience authoring reports or affidavits for legal, forensic, or insurance industry purposes.
- 6. Advanced familiarity with modern digital evidence types, including video, photographic, and telematics data.
- 7. Previous remote consulting or advisory experience is a plus.
What You'll Do
- 1. Analyze digital claim evidence including CCTV and dashcam footage, scene photographs, statements, and engineering reports to identify signs of fraud or staged incidents.
- 2. Reconstruct accident or loss events by reviewing visual and documented materials, synthesizing findings to clarify causation and authenticity.
- 3. Provide detailed written assessments suitable for SIU investigators or forensic engineers, outlining clear reasoning behind each determination.
- 4. Identify and articulate patterns or anomalies that may indicate fraudulent activity, leveraging deep forensic and investigative knowledge.
- 5. Collaborate remotely to support the creation of cutting-edge AI datasets, ensuring accuracy and reliability of input data.
- 6. Maintain clear, professional communication through both written reports and verbal discussions as needed for clarifications or feedback.
Senior Claims Investigator (Remote) employer: Consult
At Consult, we pride ourselves on being an exceptional employer that fosters a dynamic and inclusive work culture. Our North America team is dedicated to professional growth, offering robust training and development opportunities while working in a fast-paced, innovative environment. Join us to be part of a collaborative team that values your contributions and supports your career aspirations in the exciting MedTech sector.