Fraud Examiner - (Towson, MD)

Spanish or Portuguese MULTILINGUAL - Job Functions: Banking/Brokerage, Finance, Insurance - JOB DETAILS: Investigates components of claims, premium avoidance, and collections submitted to Chesapeake Employers by means of developing factual details to ensure the propriety of claims benefits, or assists in case development for legal actions in instances of impropriety. DUTIES AND RESPONSIBILITIES: ?- Manage and control all activity involving investigative cases assigned for premium avoidance, collections, or claims. ?- Investigate suspected/reported incidents of fraudulent activity/premium avoidance on the part of claimants, policyholders, vendors, and agents and/or any other individual/entity conducting business with Chesapeake Employers by obtaining and reviewing documents and other details for completing a Premium Avoidance Audit/Claims Investigation. ?- Independently examine and evaluate internal documentation for validation and decision making on claims, underwriting or premium avoidance files.