03 ago
|
Legal Management Group
|
Tijuana
03 ago
Legal Management Group
Tijuana
Claims InvestigatorClaims Investigation, Case Intelligence & Fraud PreventionGuadalajara, Jalisco, México | Tijuana, Baja California, México | On-SiteHelp Build the Investigations Behind the MissionAt FLF, successful case outcomes begin with accurate investigations and reliable information.As our organization continues to grow, we rely on skilled investigators to validate claims, uncover critical evidence, and provide the factual foundation that strengthens legal strategy and supports our clients throughout the claims process.We are seeking an experienced Claims Investigator to conduct comprehensive investigations for personal injury and motor vehicle accident cases.Your expertise in claims validation, digital investigations, and evidence gathering will help ensure every case is built on accurate, defensible, and well-documented information.If you're passionate about investigations, analytical problem-solving, and uncovering facts that drive successful case outcomes, we'd love to hear from you.Why This Role MattersAs our Claims Investigator, you will serve as a critical member of the firm's investigative and case support team.You'll collaborate closely with attorneys, case managers, negotiators, and legal support professionals to validate claims, identify inconsistencies, gather supporting evidence, and strengthen litigation and settlement strategies.Your work will directly influence case quality, fraud prevention, liability assessment, claim outcomes, and the firm's ability to deliver exceptional representation for every client.Compensation & BenefitsUSD salary compensation paid twice a monthPerformance-based bonus opportunitiesCareer growth within a rapidly expanding organizationOngoing professional development and investigative trainingExposure to complex personal injury litigation and insurance investigationsCollaborative and results-driven work environmentModern offices located in Guadalajara's premier financial district and TijuanaWhat You'll DoClaims Investigation & ValidationConduct comprehensive investigations involving personal injury and motor vehicle accident claims.Validate claimant information through interviews, documentation review, public records, and data verification.Identify inconsistencies, potential fraud indicators, and factual discrepancies that may affect claim outcomes.Develop investigative findings that support legal strategy and case evaluation.Digital & Social Media InvestigationsConduct investigations across publicly available social media platforms and digital sources.Collect, preserve, and document digital evidence in accordance with legal and ethical standards.Analyze online activity that may impact liability, damages,
or claim credibility.Maintain strict compliance with privacy regulations and investigative best practices.Documentation & Investigative ReportingPrepare thorough, accurate, and well-organized investigative reports supported by relevant evidence.Maintain complete case documentation, investigative logs, and supporting records.Present findings clearly to attorneys, case managers, and other internal stakeholders.Ensure investigative documentation meets firm quality standards and legal requirements.Case Analysis & Risk AssessmentEvaluate investigative findings to identify potential risks, liability concerns, and opportunities to strengthen cases.Support attorneys by providing actionable intelligence throughout the litigation and negotiation process.Monitor developing information and recommend additional investigative activities when appropriate.Assist with early case assessments through objective fact gathering and evidence analysis.Systems & Process ManagementUtilize claims management systems, databases, and case management platforms to document investigative activities.Maintain accurate and timely updates within internal systems.Follow established investigative procedures while identifying opportunities to improve workflows.Support continuous improvement initiatives that enhance investigative quality and operational efficiency.Cross-Functional CollaborationPartner with Legal, Case Management, Negotiations, and Operations teams to support successful case outcomes.Communicate investigative findings professionally and effectively across departments.Assist with special investigations and high-priority cases as assigned.Serve as a trusted resource on investigative procedures, evidence collection, and claims validation.What're We Looking ForRequired QualificationsBachelor's degree in Criminal Justice, Business, Insurance, Healthcare Administration, or a related field preferred; equivalent professional experience will be considered.Minimum 5 years of experience in claims investigation, insurance investigations, healthcare claims, or a related investigative role.Experience investigating personal injury, automobile accident, or insurance claims.Strong knowledge of investigative methodologies, evidence gathering, and claims validation processes.Experience conducting social media investigations and digital evidence collection.Strong analytical, investigative,
and critical thinking skills.Excellent organizational skills with exceptional attention to detail.Experience utilizing claims management systems, investigative databases, or case management platforms.Professional proficiency in English with excellent written and verbal communication skills.Preferred QualificationsExperience within Personal Injury law firms or insurance carriers.Knowledge of fraud detection, liability investigations, and insurance claim analysis.Experience working with public records databases and investigative research tools.Familiarity with Filevine or other legal case management platforms.Professional certifications in Claims Investigation, Fraud Examination, Insurance, or related disciplines.The Type of Person Who Thrives HereNaturally curious investigators who enjoy uncovering facts and solving complex problemsAnalytical professionals who make objective, evidence-based decisionsDetail-oriented individuals committed to accuracy and thorough documentationStrong communicators who present findings clearly and professionallyHighly organized professionals who effectively manage multiple investigationsCollaborative partners who strengthen legal strategy through reliable investigative workAccountable professionals committed to integrity and operational excellenceWhy Join FLF?
At FLF, investigations are more than gathering information—they are essential to delivering justice for our clients.You'll work alongside experienced attorneys and legal professionals while conducting meaningful investigations that strengthen cases and improve client outcomes.As we continue investing in operational excellence, technology, and investigative capabilities, you'll play a key role in supporting one of the fastest-growing Personal Injury Law Firms.About FLFFLF is a growing Personal Injury Law Firm dedicated to helping injured individuals and their families obtain the justice and compensation they deserve.Our success is driven by talented professionals across legal, client services, business operations, investigations, and case management who work together to deliver exceptional results.We believe that when great people, thorough investigations, and strategic legal advocacy come together, extraordinary outcomes follow.Our Core ValuesLoyalty – To our clients, our team, and our mission.Trust – Building confidence through transparency, consistency, and results.Respect – For clients, colleagues, and the communities we serve.Accountability – Taking responsibility for outcomes, both successes and mistakes.Continuous Growth – Striving to learn, adapt, and improve daily.Equal Opportunity EmployerFLF is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive workplace for all team members.
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📌 Claims Investigator (Tijuana)
🏢 Legal Management Group
📍 Tijuana