Claims Investigator

Claims Investigator

Claims Investigation, Case Intelligence & Fraud Prevention

Guadalajara, Jalisco, México
Tijuana, Baja California, México
On-Site

At FLF, successful case outcomes begin with accurate investigations and reliable information.

As our organization continues to grow, we rely on skilled investigators to validate claims, uncover critical evidence, and provide the factual foundation that strengthens legal strategy and supports our clients throughout the claims process.

We are seeking an experienced Claims Investigator to conduct comprehensive investigations for personal injury and motor vehicle accident cases. Your expertise in claims validation, digital investigations, and evidence gathering will help ensure every case is built on accurate, defensible, and well-documented information.

If you're passionate about investigations, analytical problem-solving, and uncovering facts that drive successful case outcomes, we'd love to hear from you.

• USD salary compensation paid twice a month
• Performance-based bonus opportunities
• Career growth within a rapidly expanding organization
• Ongoing professional development and investigative training
• Exposure to complex personal injury litigation and insurance investigations
• Collaborative and results-driven work environment
• Modern offices located in Guadalajara's premier financial district and Tijuana

• Conduct comprehensive investigations involving personal injury and motor vehicle accident claims.
• Validate claimant information through interviews, documentation review, public records, and data verification.
• Identify inconsistencies, potential fraud indicators, and factual discrepancies that may affect claim outcomes.
• Develop investigative findings that support legal strategy and case evaluation.

• Conduct investigations across publicly available social media platforms and digital sources.
• Collect, preserve, and document digital evidence in accordance with legal and ethical standards.
• Analyze online activity that may impact liability, damages, or claim credibility.
• Maintain strict compliance with privacy regulations and investigative best practices.

• Prepare thorough, accurate, and well-organized investigative reports supported by relevant evidence.
• Maintain complete case documentation, investigative logs, and supporting records.
• Present findings clearly to attorneys, case managers, and other internal stakeholders.
• Ensure investigative documentation meets firm quality standards and legal requirements.

• Evaluate investigative findings to identify potential risks, liability concerns, and opportunities to strengthen cases.
• Support attorneys by providing actionable intelligence throughout the litigation and negotiation process.
• Monitor developing information and recommend additional investigative activities when appropriate.
• Assist with early case assessments through objective fact gathering and evidence analysis.

• Utilize claims management systems, databases, and case management platforms to document investigative activities.
• Maintain accurate and timely updates within internal systems.
• Follow established investigative procedures while identifying opportunities to improve workflows.
• Support continuous improvement initiatives that enhance investigative quality and operational efficiency.

• Partner with Legal, Case Management, Negotiations, and Operations teams to support successful case outcomes.
• Communicate investigative findings professionally and effectively across departments.
• Assist with special investigations and high-priority cases as assigned.
• Serve as a trusted resource on investigative procedures, evidence collection, and claims validation.

• Bachelor's degree in Criminal Justice, Business, Insurance, Healthcare Administration, or a related field preferred; equivalent professional experience will be considered.
• Minimum 5 years of experience in claims investigation, insurance investigations, healthcare claims, or a related investigative role.
• Experience investigating personal injury, automobile accident, or insurance claims.
• Strong knowledge of investigative methodologies, evidence gathering, and claims validation processes.
• Experience conducting social media investigations and digital evidence collection.