SIU Field Investigator

Allstate • Chicago, IL

5d

About The Position

The Special Investigative Unit Senior Consultant I investigates and analyzes complex, and occasionally highly complex, multi-discipline coverage and claims referred to the Special Investigative Unit for potential fraud. The role handles a combination of attorney-represented and unrepresented claims, as well as complex losses involving extra-contractual liability and large fire and property losses with suspicious activity. Investigations may include background searches, scene investigations, clinic inspections, recorded statements, reviews of medical notes, bills and property damage, witness interviews, and social media searches. The investigator assesses whether fraud can be substantiated and supports lawsuits.

This field-based position supports a territory within approximately a three-hour radius of Chicago, Illinois, and investigates potential fraud across Auto, Homeowners, and Specialty Lines. Prior investigative experience is required; SIU experience and a track record of identifying, investigating, and resolving suspicious claims are strongly preferred.

Requirements

• Prior investigative experience.
• Individuals who currently hold an active insurance license must terminate all existing appointments before onboarding and must not hold outside appointments during employment.
• Applicants seeking an adjuster role who hold a resident producer license must formally surrender that license when instructed by the licensing team.

Nice To Haves

• Special Investigations Unit (SIU) background.
• A proven track record of identifying, investigating, and resolving suspicious claims.

Responsibilities

• Make claim decisions regarding complex and occasionally highly complex investigations, and pursue restitution.
• Manage, research, and resolve complex customer communications, concerns, conflicts, and issues.
• Validate information obtained through investigations and follow up on all possible leads.
• Conduct thorough investigations of potentially fraudulent multi-discipline and extra-contractual liability claims to determine whether payment is warranted.
• Use analytic tools or SIU field intelligence to identify claims for investigation and support evidence of fraud and damages.
• Summarize documents and document claim files with notes, evaluations, and the decision-making process.
• Enter SIU claim data into multiple SIU systems.
• Update files with investigation outcomes and return files to MCO for further handling and settlement when no fraud or insufficient evidence is found.
• Review investigations with fraud outcomes to validate whether denial is appropriate.
• Conduct complex online data application searches, research, and evaluation.
• Conduct background and scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches.
• Review and analyze medical notes, bills, and property damage.

Benefits

• Eligible employees who work from home receive a monthly connectivity reimbursement to help offset internet costs.
• Allstate provides a technology setup that includes a laptop, monitors, headset, keyboard, and mouse.

What This Job Offers

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