**Claims Investigator**
**About the Role**
**- Key Responsibilities**
**Claims Investigation & Validation**
- Conduct end-to-end investigations related to personal injury and auto accident claims.
- Validate claimant information through records review, interviews, and data verification.
- Identify inconsistencies, red flags, or potential fraud within claims.
**Social Media & Digital Investigation**
- Investigate online presence across platforms such as Instagram, Facebook, and other public sources.
- Collect, document, and preserve relevant digital evidence to support claim evaluation.
- Ensure investigations comply with legal, ethical, and privacy standards.
**Documentation & Reporting**
- Prepare clear, accurate investigation reports with findings and supporting evidence.
- Maintain organized case files and investigation logs.
- Collaborate with claims, legal,



and case management teams to provide actionable insights.
**Systems & Process Usage**
- Utilize internal claims systems, databases, and case management tools effectively.
- Follow established investigation procedures and contribute to process improvements when needed.
**Required Skills & Experience**
- 5-10 years of experience in claims investigation, insurance claims, healthcare claims, or related fields
- Strong background in insurance-based investigations preferred
- Experience investigating auto accident or personal injury claims
- Familiarity with social media and digital investigations
- High attention to detail and strong analytical skills
- Experience using claims systems, databases, or case management platforms

📌 Claims Investigator (Tijuana)
🏢 Legal Management Group
📍 Tijuana