SIU Field Investigator – Jackson, MS

Military Spouse Corporate Career NetworkJackson, MS
Onsite

About The Position

National General, a part of The Allstate Corporation, is seeking an experienced SIU Field Investigator to join their team. This role supports a territory spanning Jackson, Mississippi; New Orleans, Louisiana; and Mobile, Alabama, with a strong preference for candidates located in or near Jackson, MS. The investigator will be responsible for investigating suspected fraud, conducting detailed case reviews, and handling complex BI (Bodily Injury) fraud investigations, including staged accidents, claim misrepresentation, and organized fraud schemes. The ideal candidate will have extensive Special Investigations Unit (SIU) experience within the insurance industry, a solid claims background, and a focus on Auto BI investigations. Experience supporting Homeowners claims investigations, including weather-related losses, is also required. The role requires a highly analytical and detail-oriented professional who enjoys conducting complex investigations, identifying fraud indicators, gathering critical facts, and delivering meaningful results to protect customers and the integrity of the claims process.

Requirements

  • Extensive Special Investigations Unit (SIU) experience within the insurance industry
  • Solid claims background
  • Experience in Auto Bodily Injury (BI) investigations
  • Experience supporting Homeowners claims investigations, including weather-related losses such as roof, wind, and flood damage
  • Highly analytical and detail-oriented
  • Strong analytical and investigative skills
  • Excellent judgment
  • Ability to manage high-impact cases from start to finish
  • Critical Thinking
  • Decision Making
  • Documentation
  • Evidence Gathering
  • Fraud Investigations
  • Insurance Fraud Investigations
  • Special Investigations
  • Witness Interviewing

Responsibilities

  • Oversees file quality Investigative Consultant
  • Makes claim decisions regarding highly complex investigations, and pursues restitution
  • Manages vendor relationship and oversees vendor performance
  • Conducts highly complex online data application searches, research, and evaluation
  • Conducts thorough investigations of highly complex, multi-discipline claims and Excess Coverage Liability (ECL) claims that are potentially fraudulent to determine if payment is warranted
  • Reviews investigations with fraud outcomes to validate whether denial is appropriate
  • Conducts highly complex site inspections, including body shops, medical clinics, loss locations etc.
  • Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues
  • Utilizes analytic tools or SIU field intelligence to identify highly complex claims for investigation and/or for support in the evidence of the fraud and damages
  • Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision making process
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