Field SIU Investigation Property/Casualty

Allstate • Orlando, FL

2d • Remote

About The Position

As a Field SIU Investigation Property/Casualty, you will be responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual performs a thorough investigation including; conducting background searches, scene investigations, and clinic inspections; taking recorded statements; reviewing and analyzing medical notes, bills, and property damage; and conducting witness interviews and social media searches. The individual conducts surveillance on property and/or creates scene reconstructions on some investigations and reviews whether fraud can be substantiated and supports a lawsuit. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. We are seeking an experienced Field SIU Investigator to handle Personal Auto Property and Casualty claims, with some exposure to commercial auto. The ideal candidate will bring direct SIU experience working for an insurance carrier and have a strong background in either property or casualty investigations. This person should be comfortable working in the field, conducting detailed and thorough investigations, and adapting to changing priorities. Strong attention to detail, independence, and investigative curiosity are key to success in this role. Candidates must reside within or be able to cover the Orlando, Florida territory, including Osceola, Seminole, Volusia, or Lake County.

Requirements

• Direct SIU experience working for an insurance carrier
• Strong background in either property or casualty investigations
• Comfortable working in the field
• Conducting detailed and thorough investigations
• Adapting to changing priorities
• Strong attention to detail
• Independence
• Investigative curiosity
• Must reside within or be able to cover the Orlando, Florida territory, including Osceola, Seminole, Volusia, or Lake County.
• Individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
• Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team.

Nice To Haves

• Some exposure to commercial auto

Responsibilities

• Enters SIU claim data information into multiple SIU systems
• Reviews investigations with fraud outcomes to validate whether denial is appropriate
• Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
• Conducts complex online data application searches, research, and evaluation
• Conducts complex site inspections, including body shops, medical clinics, loss locations etc.
• Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed
• Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
• Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process
• Utilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damages
• Researches and responds to complex customer communications, concerns, conflicts or issues

Benefits

• Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse.
• Monthly connectivity reimbursement to help offset internet costs for eligible remote employees.
• Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed