Claims Investigator

Here at Avis Budget Group, you will be joining a team of 25,000 driven people, performing with purpose. Together, we're moving the future of transportation forward with our innovative, customer-focused solutions.

Our culture is performance driven, where we encourage and support each other to be at our best through leadership, training, tools, and rewards.

We are proud to make a positive difference to the lives of our colleagues, customers, and communities where we operate.

This position will report to Avis' Director of Liability Claims and act as the interface between the Company and its Third-Party Administrator (TPA) with respect to the investigation of Auto and General Liability claims in United States. The position requires familiarity with the investigation of various liability claims stemming from Property Claims, Bodily Injury Claims and Medical Payments (Accident Benefits/PIP)). The candidate should be familiar with identifying fraudulent activity involving high exposure matters as well as suspicious non-surgical bodily injury claims. The position requires interaction with internal groups including Operations, safety team and supply chain. The candidate must be familiar with NY/NJ PIP and be located in the New York Metropolitan Area.

• Analyze data, first notice of loss and accompanying file material to determine if a claim is suspect or potentially fraudulent
• Conduct a complete, in-depth investigation to develop sufficient evidence to determine the claim handling decision
• Recommend a final course of claim action- substantiation of legitimate claim, or denial of an unjustified claim, and/or a recommendation of further punitive action to successfully execute the above
• Collaborating and communicating with the following during the investigation: Claim Department, Avis Operations, Counsel, Law Enforcement, Regulatory Agencies, and Industry Anti-Fraud Organizations
• Developing and maintaining excellent relationships with all of the above
• Ensuring strong customer service and relations at all times
• Managing (selecting, directing, employing, and maintaining) private investigator panel of independent contractors and other vendors for quality and cost effective results
• Maintaining and monitoring an active diary, properly documenting all developments in claim file, preparing investigative reports, maintaining suspicious claim database, and preparing reports on a quarterly basis to supervisors
• Being familiar with and appropriately adhering to fraud statutes
• Actively pursuing memberships in professional anti-fraud investigative organizations and participating in associated training and events offered
• Training and influencing internal partners and our TPA to detect and prevent insurance fraud
• Adhering to statutory regulations, and Unfair Claims Practice Acts
• Ensuring the character and reputation of our company, renters and/or drivers are positively maintained- not maligned or criticized as well as ensuring that investigations have a clear, single focused intent of uncovering and providing necessary facts to expeditiously resolve a claim in a quality manner

• Strong expertise in suspect claim identification and handling
• Experience with using data analytics to identify fraudulent activity
• High level of acumen in the areas of investigation, listening, strategic/analytical thinking, problem solving, and innovative thinking
• Strong knowledge of general industry trends and legislative activities in regard to fraudulent claim handling, tort reform, fraud statutes, and civil/criminal procedures
• Clear interest in and quality execution of "deeper" level investigations
• Strong interpersonal/ relationship skills- proven ability to build and maintain excellent customer relationships in all situations; success with being a positive "face" to customers; ability to investigate through relationships; acumen to build and maintain successful relationships with internal colleagues as well as local law enforcement, attorney general employees, and insurance bureaus
• Highly proficient collaboration expertise- ability to work with a diverse team of internal and external colleagues to successfully complete an investigation and provide superior customer service
• Desire and acumen for training and influencing others in respect to the execution of an investigation and how to identify fraud proactively: TPA Examiners, Safety Team and Operations.
• Excellent verbal and written communication skills
• Ability and desire to work with confidence, autonomy, initiative, and ambition
• High level of dependability, accountability, and integrity
• Travel required
• College degree preferred
• Law enforcement experience a plus; prior Casualty SIU investigation experience or Casualty claims background a plus

• Paid time off
• 401K retirement plan with company matched contributions
• Access to Medical, Dental, Vision, Life and Disability insurance
• Eligible to elect other voluntary benefits including: Group Legal, Identity Theft, Insurance, FSA, additional life insurance coverages
• Contribute up to $260 as a tax free benefit for public transportation or parking expenses
• Employee discounts, including discounted prices on purchase of Avis / Budget cars
• Access to an Employee Assistance Program for services including counseling, financial and legal consultation, referrals for care service, and more

The fine print:

Avis Budget Group is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other category protected by applicable law.

This advertisement does not constitute a promise or guarantee of employment. This advertisement describes the general nature and level of this position only. Essential functions and responsibilities may change as business needs require. The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law. This position may be with any affiliate of Avis Budget Group.