SIU Field Investigator
About The Position
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. As a SIU Field Investigator responsibilities include investigating suspected fraud, conducting detailed case reviews, and handling complex BI fraud investigations, including staged accidents, claim misrepresentation, and organized fraud schemes. The successful candidate will possess strong analytical and investigative skills, excellent judgment, and the ability to manage high-impact cases from start to finish. We are seeking an experienced SIU Investigator to join our team! This territory covers Northern Louisiana and Mississippi, with a strong preference for candidates located near Monroe, LA. Candidates residing in Monroe, Shreveport, LA, or Jackson, MS will be well-positioned to support the assigned region. The ideal candidate will bring several years of Special Investigations Unit (SIU) experience with an insurance carrier, along with a strong foundation in claims handling. This role is primarily focused on Auto Bodily Injury (BI) investigations and also supports Homeowners claims, including weather-related losses such as roof, wind, and flood damage. If you thrive on uncovering facts, solving complex cases, and making a meaningful impact in the fight against insurance fraud, we'd love to hear from you!
Requirements
- Several years of Special Investigations Unit (SIU) experience with an insurance carrier
- Strong foundation in claims handling
- Critical Thinking
- Decision Making
- Evidence Gathering
- Fraud Investigations
- Insurance Claims
- Insurance Fraud
- Insurance Investigation
- Investigative Skills
- Special Investigations
- Authorization to work in the United States
Nice To Haves
- Candidates located near Monroe, LA
- Candidates residing in Monroe, Shreveport, LA, or Jackson, MS
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 employees eligible to work from home
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
