Claims Investigation and Fraud Prevention Coordinator

. Coordinate claims investigation operations, ensuring efficiency, quality, and adherence to procedures established by clients.

Posted 10/16/2026full-timeSão Paulo • BrazilMid-LevelSeniorWebsite

Key responsibilities & impact

Coordinate claims investigation operations, ensuring efficiency, quality, and adherence to procedures established by clients.
Lead, develop, and monitor the team responsible for managing investigative processes.
Define operational strategies for prioritizing, monitoring, and handling cases under investigation.
Ensure compliance with contractual SLAs related to investigations, investigative inquiries, and report delivery.
Coordinate relationships with and manage investigative firms and other partners responsible for conducting investigative inquiries.
Ensure the technical quality of investigations by validating methodologies, investigative directions, and collected evidence.
Supervise the critical review of investigative reports, ensuring consistency, objectivity, and adequate support for clients’ decision-making.
Serve as the primary liaison among clients, Claims, Fraud Prevention, and external partners, aligning priorities and resolving complex requests.
Establish operational controls, performance indicators, and management reports to monitor operational results.
Ensure activities comply with internal standards, regulatory requirements, information security policies, and investigative best practices.
Support the development of fraud prevention strategies by contributing analyses, trend insights, and risk mitigation recommendations.
Participate in executive meetings with clients, presenting indicators, results, and action plans related to the operation.

What you’ll need

Bachelor’s degree in Business Administration, Law, Insurance Management, Accounting, Public Safety, Corporate Investigations, or a related field.
Experience in insurance fraud prevention.
Experience with claims adjustment, claims analysis, fraud investigations, or investigative inquiries.
Experience in coordination, technical leadership, or operations management roles.
Experience managing vendors, investigative partners, and service agreements.
In-depth knowledge of claims analysis, adjustment, and investigation workflows.
Experience defining and monitoring operational indicators, performance controls, and SLAs.
Proficiency in Microsoft Office, especially Excel.
Preferred: experience coordinating investigative inquiry operations at insurance companies; experience in Compliance, Investigative Auditing, or Risk Management; knowledge of Power BI and performance monitoring tools; experience establishing operational governance and preparing executive reports; experience investigating vehicle theft and robbery cases; knowledge of process management and continuous improvement methodologies.

Comp & perks