Senior Insurance Fraud & Claims Investigation Specialist

Job not on LinkedIn

🔥 6 minutes ago

🌐 United States, Canada, +2 more countries – Remote

🇺🇸 United States – Remote 🇨🇦 Canada – Remote 🇦🇺 Australia – Remote 🇬🇧 United Kingdom – Remote

⏳ Contract/Temporary

🟠 Senior

🔒 Insurance

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gramian Consulting

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2025

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Gramian Consulting is a remote-first consulting firm that connects engineering and data/AI talent with organizations through talent augmentation, recruiting, dedicated teams, and contractor management. The firm provides Data & AI services including LLM training and fine-tuning, AI agents and assistants, MLOps, and AI infrastructure, and it offers mentorship and education programs for career readiness, interview preparation, and international market orientation. Rooted in hands-on engineering and recruiting experience, Gramian helps clients scale technical teams and extract business value from AI while developing individual talent.

📋 Description

• Analyze digital claim evidence, including CCTV footage, dashcam recordings, scene photographs, witness statements, and engineering reports • Identify inconsistencies, anomalies, and indicators that may suggest staged incidents or fraudulent claims • Reconstruct accident and loss events using visual, technical, and documented evidence • Assess the authenticity of reported incidents and evaluate potential causes of loss • Prepare detailed, structured written assessments suitable for Special Investigation Unit (SIU) investigators, forensic engineers, and insurance professionals • Explain investigative findings and support conclusions with clear, objective evidence • Identify patterns associated with staged-loss incidents, suspicious claims, and potentially organized fraud schemes • Review technical reports, visual evidence, and claim documentation for accuracy and consistency • Contribute investigative insights and industry best practices to AI training and evaluation datasets • Collaborate remotely with project stakeholders and provide professional feedback and clarifications

🎯 Requirements

• Minimum 7 years of relevant professional experience in Special Investigations / Special Investigation Units (SIU), Insurance Fraud Detection, Claims Investigation, Forensic Engineering, or Fleet Safety Investigation or Review • Demonstrated experience analyzing insurance claim evidence and evaluating incident authenticity and causation • Strong ability to interpret visual evidence, technical reports, statements, and supporting documentation • Experience identifying inconsistencies and potential indicators of staged-loss incidents or fraudulent activity • Excellent analytical and critical-thinking skills • Strong written communication skills, with the ability to produce detailed, evidence-based investigative reports • Ability to work independently and communicate findings clearly in a remote environment

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