Claims Investigator - Claims Investigation, Case Intelligence & Fraud Prevention

Claims Investigator

Claims Investigation, Case Intelligence & Fraud Prevention

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

Help Build the Investigations Behind the Mission

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.

Why This Role Matters

As our Claims Investigator, you will serve as a critical member of the firm's investigative and case support team.

You'll collaborate closely with attorneys, case managers, negotiators, and legal support professionals to validate claims, identify inconsistencies, gather supporting evidence, and strengthen litigation and settlement strategies.

Your work will directly influence case quality, fraud prevention, liability assessment, claim outcomes, and the firm's ability to deliver exceptional representation for every client.

Compensation & Benefits

• 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

What You'll Do

Claims Investigation & Validation

• 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.

Digital & Social Media Investigations

• 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.

Documentation & Investigative Reporting

• 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.

Case Analysis & Risk Assessment

• 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.

Systems & Process Management

• 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.

Cross-Functional Collaboration

• 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.

What We're Looking For

Required Qualifications

• 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.
• Strong analytical, investigative, and critical thinking skills.
• Excellent organizational skills with exceptional attention to detail.
• Experience utilizing claims management systems, investigative databases, or case management platforms.
• Professional proficiency in English with excellent written and verbal communication skills.

Preferred Qualifications

• Experience within Personal Injury law firms or insurance carriers.
• Knowledge of fraud detection, liability investigations, and insurance claim analysis.
• Experience working with public records databases and investigative research tools.
• Familiarity with Filevine or other legal case management platforms.
• Professional certifications in Claims Investigation, Fraud Examination, Insurance, or related disciplines.

The Type of Person Who Thrives Here

Our most successful team members are:

• Naturally curious investigators who enjoy uncovering facts and solving complex problems
• Analytical professionals who make objective, evidence-based decisions
• Detail-oriented individuals committed to accuracy and thorough documentation
• Strong communicators who present findings clearly and professionally
• Highly organized professionals who effectively manage multiple investigations
• Collaborative partners who strengthen legal strategy through reliable investigative work
• Accountable professionals committed to integrity and operational excellence

Why Join FLF?

At FLF, investigations are more than gathering information—they're essential to delivering justice for our clients.

You'll work alongside experienced attorneys and legal professionals while conducting meaningful investigations that strengthen cases and improve client outcomes.

As we continue investing in operational excellence, technology, and investigative capabilities, you'll play a key role in supporting one of the fastest-growing Personal Injury Law Firms.

About FLF

FLF is a growing Personal Injury Law Firm dedicated to helping injured individuals and their families obtain the justice and compensation they deserve.

Our success is driven by talented professionals across legal, client services, business operations, investigations, and case management who work together to deliver exceptional results. We believe that when great people, thorough investigations, and strategic legal advocacy come together, extraordinary outcomes follow.

Our Core Values

Loyalty – To our clients, our team, and our mission.

Trust – Building confidence through transparency, consistency, and results.

Respect – For clients, colleagues, and the communities we serve.

Accountability – Taking responsibility for outcomes, both successes and mistakes.

Continuous Growth – Striving to learn, adapt, and improve daily.

Equal Opportunity Employer

FLF is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive workplace for all team members.

Ready to Apply?

If you're excited about conducting detailed investigations, uncovering critical evidence, and supporting successful legal outcomes through objective analysis, we'd love to hear from you.

Please submit your resume along with a brief summary of a complex investigation you managed, including the investigative approach you used and the impact your findings had on the final claim or case outcome.