ZipRecruiter

Log In

1

Insurance Investigator Jobs in Puerto Rico (NOW HIRING)

EQVAL Group, Inc

Validation Engineer

Juncos, PR · On-site

Collaborate with cross-functional teams to support investigations (NCRs, Complaints) and implement ... Health insurance (Medical, Dental, Vision, Pharmacy) * Life Insurance * Paid time off (PTO)

EQVAL Group, Inc

Manufacturing Engineer

Ponce, PR · On-site

$71K - $91K/yr

Collaborate with cross-functional teams to support investigations (NCRs, Complaints) and implement ... Health insurance (Medical, Dental, Vision, Pharmacy) * Life Insurance * Paid time off (PTO)

Costco

Loss Prevention Clerk

Bayamon, PR · On-site

Testifies in court concerning theft investigations. * Communicates with other area Costco Loss ... insurance, 401(k), stock purchase plan to eligible employees. Apart from any religious or ...

Kelly Services

PR

$38/hr

Strong experience managing deviations, non-conformances, investigations, CAPAs, and Change Controls ... term life, whole life, accident insurance, critical illness, a legal plan, and short-term ...

Cabrera Auto

HR Generalist (07312026)

Hatillo, PR · On-site

... investigations. Guide the leadership team on sensitive or complex matters and elevate to the ... Health Plan (First Medical), Life Insurance, Vacations, Sick Leave, Christmas Bonus, Employee ...

previous pagenext page

Showing results 21-40

All JobsInsurance Investigator JobsInsurance Investigator Jobs in Puerto Rico

Insurance Investigator information

What do insurance investigators do?

An insurance investigator works for an insurance company looking into insurance claims, usually when the claim may be fraudulent. As an insurance claims investigator, you gather information from the insurance adjuster, law enforcement, witnesses, and the claimant. You also make investigative inquiries to determine if the claim is valid or fraudulent. Your job is to document all evidence and present the case to your employer so that the insurance company is protected from false claims.

What are the key skills and qualifications needed to thrive as an insurance investigator, and why are they important?

To thrive as an Insurance Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice, law, or a related field, often supported by a relevant degree or certification. Familiarity with case management software, database research tools, and surveillance equipment is typically required. Excellent communication, critical thinking, and integrity are crucial soft skills for interviewing witnesses and writing clear, objective reports. These abilities ensure accurate fraud detection, effective investigations, and compliance with legal standards in the insurance industry.

What are some of the common challenges faced by insurance investigators, and how can they be managed effectively?

Insurance Investigators often encounter challenges such as dealing with uncooperative claimants, navigating complex regulations, and managing a heavy caseload. Building strong communication and interpersonal skills can help when interviewing witnesses or claimants. Staying organized and up-to-date with the latest industry regulations ensures compliance and efficiency. Collaborating closely with claims adjusters, law enforcement, and legal teams also helps in resolving complex cases and maintaining workflow balance.

What is the difference between Insurance Investigator vs Claims Adjuster?

AspectInsurance InvestigatorClaims Adjuster
Required CredentialsLicenses, sometimes certifications in investigation or insuranceLicenses, certifications in claims handling or insurance
Work EnvironmentField investigations, interviews, surveillanceOffice-based, claims assessment, site visits
Employer & Industry UsageInsurance companies, private investigation firmsInsurance companies, third-party administrators
Common Search & ComparisonYesNo

Insurance Investigators focus on uncovering fraud and verifying claims through investigations, often working in the field. Claims Adjusters evaluate and settle insurance claims, primarily working in offices or on-site. While both roles require insurance knowledge and sometimes similar certifications, their daily tasks and work environments differ significantly.

What do you need to be an insurance investigator?

To become an insurance investigator, candidates typically need a high school diploma or equivalent, with some roles preferring or requiring a college degree in criminal justice, law enforcement, or a related field. Prior experience in law enforcement, claims adjusting, or related investigative work is often beneficial, along with strong analytical skills and knowledge of insurance policies. Licensing or certification may be required depending on the state or employer.
More about Insurance Investigator jobs

What are the most commonly searched types of Insurance Investigator jobs in Puerto Rico?

The most popular types of Insurance Investigator jobs in Puerto Rico are:

What are popular job titles related to Insurance Investigator jobs in Puerto Rico?

For Insurance Investigator jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Insurance Investigator jobs in Puerto Rico look for?

The top searched job categories for Insurance Investigator jobs in Puerto Rico are:

What are popular job titles related to Insurance Investigator jobs in PR?

For Insurance Investigator jobs in PR, the most frequently searched job titles are:

Insurance Investigator jobs near you
Infographic showing various Insurance Investigator job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Multi-Line Adjuster - Inside

Crawford and Company

Guaynabo, PR • On-site

$40K - $74K/yr

Full-time

Re-posted 2 days ago

Job description


?? Ready to Lead with Expertise?
?? Be the Adjuster Who Makes a Difference!
Join Us as Multi-Line Adjuster - Remote/Hybrid Role | Guaynabo, PR
What's in it for you?
?? Competitive Pay
?? Flexibility: Remote work allowed in any state, but preference for candidates in Puerto Rico.
?? Impactful Work: Help restore lives and communities through expert claims handling.
At Crawford, every claim represents a person and a community we help rebuild. As a Multi-Line Adjuster, your experience and bilingual skills will ensure accurate, timely resolutions and exceptional client service.
Ready to make an impact through expertise and care? Apply today and join the One Crawford family!
  • College degree or an equivalent combination of education and experience.
  • Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
  • Personal computer, typing and keyboarding skills
  • In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
  • Familiarity with legal, medical and technical disciplines within specific business lines.
  • Strong verbal and written communication skills.
  • Good analytical ability and mathematical aptitude.
  • Good attention to detail and organizational skills.
  • Ability to gather and analyze information, then determine and implement the appropriate course of action.
  • Good interpersonal skills.
  • Licensing as required by state and local jurisdictions.
  • Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.

Responsibilities
  • Investigate coverage, liability, and damages with all parties involved in a claim as requested by our customers or Crawford and Company or a subsidiary thereof.
  • Investigate claims by interviewing claimants, witnesses, establish claim reserves, handle evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.
  • Negotiates and settles claims, sets reserves, and manages litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
  • May present evidence at legal proceedings.
  • Provide filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate.
  • Prepare reports by collecting and summarizing information required by the client and obtained through investigation.
  • Self starter capable of working alone or with others.
  • Maintains company reputation and insurance product integrity by complying with Federal and state regulations, client and Crawford and Company service standards.
  • Maintain expected case loads in multiple lines of business while meeting established service delivery, production, quality, sales and educational objectives.
  • May be required to work on-call during off work hours to respond to emergency on-site investigations.
  • Maintain professional and technical knowledge through continuing education in multiple lines of business.
  • Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.
  • Uphold and project the corporate image by participating in industry organizations and functions.
  • Ability to multi-task in a time sensitive environment and handle job responsibilities with a sense of urgency.
  • Participates in special projects or performs duties in other areas as requested.
  • Upholds the Crawford Code of Conduct.

Qualifications
  • College degree or an equivalent combination of education and experience.
  • Minimum 2 years insurance adjusting experience with experience in each of at least two lines of business (casualty, property, or marine).
  • Personal computer, typing and keyboarding skills
  • In-depth knowledge of insurance coverage, practices and negotiating skills in multiple lines of business.
  • Familiarity with legal, medical and technical disciplines within specific business lines.
  • Strong verbal and written communication skills.
  • Good analytical ability and mathematical aptitude.
  • Good attention to detail and organizational skills.
  • Ability to gather and analyze information, then determine and implement the appropriate course of action.
  • Good interpersonal skills.
  • Licensing as required by state and local jurisdictions.
  • Additional continuing education as required by Crawford Educational Services and as applicable for jurisdictions in which claims are adjusted or investigated.

#LI-CB3

Apply