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Claims Investigator

Forest Hills, NY · On-site

$55K - $75K/yr

Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance claims adjusting/investigating firm which works on behalf of insurance companies, TPAs, law firms and municipalities ...

This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will include researching and investigating EZ Claim ...

This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will include researching and investigating EZ Claim ...

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Claims Investigator information

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$35K

$65.2K

$89.5K

How much do claims investigator jobs pay per year?

As of Jul 19, 2026, the average yearly pay for claims investigator in the United States is $65,243.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $75,000.00 per year, depending on experience, location, and employer.

What is the difference between Claims Investigator vs Claims Adjuster?

AspectClaims InvestigatorClaims Adjuster
CredentialsTypically requires insurance-related certifications, such as CPCU or AICOften requires similar certifications, plus state licensing
Work EnvironmentInvestigates claims, interviews witnesses, reviews evidenceEvaluates damages, negotiates settlements, inspects property or vehicle
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, public adjusters, third-party administrators

Claims Investigators focus on uncovering facts and verifying claims, often conducting interviews and investigations. Claims Adjusters evaluate damages and negotiate settlements. While both roles require insurance knowledge and certifications, Investigators emphasize investigation skills, whereas Adjusters focus on assessment and negotiation.

Is claim adjusting a dying field?

Claims investigation is a stable profession within the insurance industry, with ongoing demand for skilled investigators to assess claims accurately. While automation and AI tools are increasingly used, human judgment remains essential, and the field continues to evolve rather than decline.

How to become a claim investigator?

To become a claims investigator, candidates typically need a high school diploma or equivalent, with some roles preferring or requiring a bachelor's degree in fields like criminal justice, insurance, or related areas. Relevant skills include attention to detail, analytical thinking, and knowledge of insurance policies; obtaining certifications such as the Certified Insurance Fraud Investigator (CIFI) can enhance prospects. Most positions require prior experience in insurance, law enforcement, or investigative work, and the job often involves working in an office or field environment with standard working hours.

What are some typical challenges faced by Claims Investigators and how can they be addressed?

Claims Investigators often encounter challenges such as managing a large caseload, dealing with incomplete or conflicting information, and handling sensitive interactions with claimants and witnesses. To address these, strong organizational skills, attention to detail, and effective communication are essential. Collaborating closely with legal teams, insurance adjusters, and law enforcement can also help resolve complex cases more efficiently. Regular training and staying updated on industry regulations further support investigators in overcoming these challenges.

What are the key skills and qualifications needed to thrive as a Claims Investigator, and why are they important?

To thrive as a Claims Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice, insurance, or a related field. Familiarity with case management software, database research tools, and sometimes certifications like Certified Fraud Examiner (CFE) are typically used. Excellent communication, discretion, and critical thinking help build trust and accurately assess complex situations. These skills are vital for efficiently detecting fraud, ensuring accurate claim resolutions, and maintaining the integrity of the claims process.

What does a claims investigator do?

A claims investigator reviews insurance claims to determine their validity by gathering evidence, interviewing claimants and witnesses, and analyzing documentation. They assess the legitimacy of claims, identify potential fraud, and work closely with insurance adjusters, often using investigative tools and techniques to ensure accurate claim processing.

What Is a Claims Investigator?

A claims investigator researches insurance claims to ensure that they are valid and accurate. While many insurance claims result in the claimants being compensated, for claims in which criminal activity or fraud is suspected, the claims investigator must interview people, conduct background checks, review forensic evidence, and advise insurance companies on how to proceed with the claim. The claims investigator saves insurance companies time and money by investigating key information about all claims.

What cities are hiring for Claims Investigator jobs? Cities with the most Claims Investigator job openings:
What are the most commonly searched types of Claims Investigator jobs? The most popular types of Claims Investigator jobs are:
Who are the top companies hiring for Claims Investigator jobs? The top employers for Claims Investigator jobs are:
What states have the most Claims Investigator jobs? States with the most job openings for Claims Investigator jobs include:
What are popular job titles related to Claims Investigator jobs? For Claims Investigator jobs, the most frequently searched job titles are:
Infographic showing various Claims Investigator job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $65,243 per year, or $31.4 per hour.
Claims Investigator

Claims Investigator

Daniel J. Hannon and Associates, Inc.

Forest Hills, NY • On-site

$55K - $75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 27 days ago

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Job description

Company Info:

Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance claims adjusting/investigating firm which works on behalf of insurance companies, TPAs, law firms and municipalities primarily in the NYC tri-state area, as well as throughout the United States.

Job Description:

DJH has an immediate need for full-time claims investigators in the New York metropolitan area to conduct field claims adjusting and investigation-related activities within the five boroughs of NYC.

Requirements:

  • Minimum of 2 years claims investigation experience preferred
  • Bilingual (with Spanish as second language) is a huge plus
  • Valid driver's license and well-maintained personal vehicle
  • Strong computer skills
  • Candidate must possess strong interpersonal skills and be able to take signed and/or recorded statements, complete detailed scene inspections with photos and measurements, locate/interview witnesses, etc.
  • Strong writing skills
  • Meet time sensitive deadlines and work a flexible schedule
  • Self-motivated with the ability to work independently

Salary:

  • Provided starting salary range is negotiable based on relevant experience
  • Bonus eligible

Company Description

Daniel J. Hannon & Associates, Inc. (www.djhannon.com) is a fully licensed, bonded and insured claims adjusting and investigation firm with locations in Rockville Centre and Buffalo, New York, Haddonfield, New Jersey and Louisville, Kentucky.
We specialize in claims investigation, surveillance, trial preparation and social media/background investigations. We perform these services for select insurance, legal and corporate clients. These services provide our clients with cost saving results on a consistent and timely basis.
Our standard of excellence is accomplished by maintaining an exclusive and dedicated supervisory and field staff, comprised of former law enforcement agency personnel, experienced surveillance operatives and claims investigators, an attorney, and former insurance company claims managers. Our supervisors and field investigators have an average of over 15 years experience and have undergone formal multi-line adjuster training. Additionally, our contacts at every level of law enforcement are unsurpassed.