Claims Investigator
Riverside, Riverside County, California, 92504, USA
Listed on 2026-02-28
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Insurance
Insurance Claims, Insurance Analyst
APEX Investigation
APEX Investigation is a leader in Insurance, Workers' Compensation, Liability and Human Resource Investigations. Our experience investigating thousands of cases, and our ability to adapt to the ever-changing laws impacting our clients gives APEX the leading edge in defending frivolous, exaggerated or fraudulent claims.
About UsAPEX Investigation® is a trusted leader in Insurance, Workers' Compensation, Liability, and Human Resource Investigations. For over 40 years, APEX has stood firm in its dedication to reducing insurance risks and combating fraudulent claims. Our commitment to delivering fast, high-quality, and reliable investigations has made us the partner of choice for our clients. APEX Investigation’s mission is to build lasting relationships through trust, integrity and quality investigations.
The APEX team lives out that mission by providing constant communication, results you can use, delivered fast at a fair price.
Claims Investigators are responsible for conducting thorough interviews of all parties involved in workers’ compensation claim injuries, providing timely updates to the client and writing comprehensive reports in a timely manner.
APEX employees thrive in their positions through the autonomy and support that they receive. The Claims Investigator role is highly flexible in operation based upon the interests of the employee; you can choose where you would like to live and operate. We strive to grow our employee retention rate through fair compensation and offering the tools required for our employees to be successful and to enjoy working with us.
The work is independent, however the Claims Investigation team is strong in support as well as camaraderie.
- Receive, review, and manage assigned cases from start to completion.
- Communicate professionally with clients, claimants, witnesses, and other involved parties.
- Provide timely case updates and correspondence in accordance with company guidelines via Case Link.
- Maintain objectivity and professionalism in all interactions.
- Conduct recorded statements at various locations, including claimants’ homes, workplaces, medical offices, and public settings.
- Ask open‑ended questions, interpret responses, and conduct appropriate follow‑up without reliance on scripted questionnaires.
- Perform scene and neighborhood canvasses, including walking on varied terrain.
- Meet with treating physicians and medical offices as required.
- Travel to designated locations, including overnight stays when necessary.
- Respond to rush cases within business hours when required.
- Enter case updates, notes, hours worked, mileage, and expenses into Case Link on a daily basis.
- Upload all obtained statements, documents, recordings, photographs, and evidence to Case Link the same day they are acquired.
- Compose clear, concise, and grammatically correct case updates within 24 hours of obtaining statements.
- Prepare and submit comprehensive investigative reports within 72 hours of final update submission.
- Retrieve records from agencies and entities both in‑person and remotely.
- Take clear photographs and video when necessary and label all electronic files accurately.
- Securely collect, store, and maintain custody of evidence when required.
- Maintain organized and protected case files and establish backup procedures to safeguard data in the event of technical failure.
- Identify and recommend additional investigative services outside the scope of the original assignment when appropriate.
- Work overtime as needed to meet case demands and deadlines.
- Maintain an efficient, safe, and organized telecommuter workspace.
Work Environment Requirements
- Ability to sit for extended periods performing computer‑based work and report writing.
- Ability to stand for extended periods while conducting interviews and canvasses.
- Ability to lift and carry items weighing between 5–30 lbs (e.g., laptop, briefcase, equipment).
- Ability to operate digital audio recording equipment.
- Experience with workers’ compensation claims and…
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