SIU Field Investigator - VA

Allstate • Richmond, VA

4d • Remote

About The Position

National General is a part of The Allstate Corporation, offering a wide range of insurance products. This job is 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; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) 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. National General is expanding and seeking a sharp, motivated SIU Field Investigator to join our team in Richmond, VA. The ideal candidate brings a strong Auto Claims background or prior SIU experience. This team primarily investigates auto claims referred to SIU, with occasional homeowner investigations.

Requirements

• Strong Auto Claims background or prior SIU experience
• Analytical Thinking
• Auto Collision
• Auto Insurance
• Auto Insurance Claims
• Claims Processing
• Collision Investigations
• Complex Claims
• Crash Investigations
• Crime Scene Investigations
• Critical Thinking
• Documentations
• Evidence Gathering
• Fraud Investigations
• Information Collection
• Insurance Claims
• Insurance Claims Investigations
• Insurance Investigation
• Researching
• Witness Interviewing

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 for eligible remote employees.
• Dedicated, private workspace free from distractions, along with appropriate desk and seating for remote work.
• Reliable internet with minimum speeds of 50 MB download and 5 MB upload for remote work.

What This Job Offers

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