SIU Field Investigator - VA

Allstate • Richmond, VA

1d • $60,000 - $117,700 • Hybrid

About The Position

National General is seeking a sharp, motivated SIU Field Investigator to join their team in Richmond, VA. This role 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. 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. 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.

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
• Opportunity to find meaning and value in their work
• Environment that fosters innovative thinking

What This Job Offers

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