Job Description

Claims Investigator at APEX Investigation ®

About Us

APEX 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.

The Role

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.

Key Responsibilities

• Conduct In-Person Investigations and Interviews: Travel to various locations—sometimes long distances or overnight—to conduct recorded statements, scene canvasses, and meet with relevant parties such as claimants, witnesses, doctors, or agencies.
• Document and Report Findings Accurately and Timely: Compose and submit grammatically correct updates and reports within designated deadlines (24 to 72 hours), ensuring all findings, interviews, and case developments are clearly documented in CaseLink.
• Maintain Case Organization and Communication: Keep case files updated and organized, upload all documents and evidence to CaseLink the same day they are obtained, and communicate case updates to clients professionally via email and/or phone as needed.
• Apply Investigative Knowledge and Critical Thinking: Interpret interview responses effectively, ask appropriate follow-up questions beyond standard questionnaires, and apply knowledge of workers’ compensation and legal processes to make informed recommendations.
• Operate Equipment and Maintain Secure Work Environment: Utilize tools such as digital recorders, scanners, and cameras to collect evidence; label and store electronic files securely; and manage a safe and efficient home office workspace as a telecommuter.

What You'll Need to Apply

• Valid driver’s license with a clean driving record
• Access to a working computer, digital recorder, and multi-page scanner/copier
• Ability and willingness to travel up to 150 miles, including same-day and overnight trips
• Flexible availability, including early mornings, occasional weekends, overtime, and short-notice rush cases
• Personal credit card with available balance for reimbursable business expenses
• Ability to lift up to 30 lbs, sit for long periods, and walk varied terrain for fieldwork
• Comfortable working remotely in a secure, distraction-free home office environment
• Proficient in Microsoft Word and familiar with case management tools

Qualifications

• Experience in insurance or claims investigations and/or working knowledge of AOE/COE workers’ compensation claims
• Preferred: Experience conducting claims or accident interviews and taking recorded statements (in person or over the phone)
• Insurance, claims, or accident adjuster experience is a plus
• Bachelor’s degree preferred (especially in Criminal Justice, Communications, or related field)
• Excellent verbal and written communication skills; able to compose grammatically correct, professional reports and updates
• Strong problem-solving skills and ability to ask thoughtful, open-ended follow-up questions during interviews
• Highly organized, detail-oriented, and skilled in maintaining accurate and secure digital case files
• Able to work independently and manage a dynamic caseload under tight deadlines
• Maintains objectivity, professionalism, and confidentiality in all interactions
• Bonus: Bilingual (Spanish) and/or military veteran experience

Compensation & Benefits

• Mileage Reimbursement
• Medical
• Dental
• Vision
• PTO
• FSA
• Simple IRA Plan

Equal Opportunity Employer

APEX Investigation Services is committed to creating a diverse and inclusive workplace. We welcome applicants of all backgrounds and ensure equal opportunity without regard to race, color, religion, sex, national origin, disability, veteran status, or other protected categories.

Background Check

Conditional offers are contingent on a job-related background check, which may include verification of prior employment, motor vehicle records, professional references, education, and/or criminal record checks. We comply with applicable laws regarding the employment of individuals with criminal histories.

Immigration Compliance

All hired candidates must comply with the Immigration and Nationality Act’s I-9 requirements to establish identity and employment eligibility.

Ready to make an impact in investigative services? Apply today!

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