SIU Field Investigator - Jackson, MS
About The Position
National General, a part of The Allstate Corporation, is seeking an experienced SIU Investigator to join their team. This role is responsible for investigating suspected fraud, conducting detailed case reviews, and handling complex BI fraud investigations, including staged accidents, claim misrepresentation, and organized fraud schemes. The position 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 ideal candidate will have extensive Special Investigations Unit (SIU) experience within the insurance industry, a solid claims background, and specific experience with Auto Bodily Injury (BI) investigations and supporting Homeowners claims investigations, including weather-related losses. 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, all while protecting customers and the integrity of the claims process.
Requirements
- Extensive Special Investigations Unit (SIU) experience within the insurance industry
- Solid claims background
- Experience with 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
- Authorization to work in the United States
Nice To Haves
- Located in or near Jackson, MS
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
Benefits
- Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse
- Monthly connectivity reimbursement for eligible remote employees
- Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
