SIU Field Investigator

Allstate • Brooklyn, NY

12d • Onsite

About The Position

This job 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. This role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) 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. We’re seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in New York! This is a field-based, location-specific position, and the ideal candidate will reside in or near Nassau County, Suffolk County, Brooklyn, Queens, or the surrounding areas. The Investigator will be responsible for conducting in-depth field investigations into auto insurance claims referred to SIU for potential fraud. Property claims experience is a plus. The ideal candidate will have prior investigative experience, strong attention to detail, and the ability to follow structured procedures and documentation standards. Estimating experience is also a plus. This role also requires excellent organizational skills, independent decision-making, and being comfortable navigating challenging conversations and high-pressure situations.

Requirements

• Prior investigative experience
• Strong attention to detail
• Ability to follow structured procedures and documentation standards
• Excellent organizational skills
• Independent decision-making
• Comfortable navigating challenging conversations and high-pressure situations

Nice To Haves

• Property claims experience
• Estimating experience

Responsibilities

• Reviews investigations with fraud outcomes to validate whether denial is appropriate
• Conducts complex site inspections, including body shops, medical clinics, loss locations etc.
• Conducts complex online data application searches, research, and evaluation
• Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
• Enters SIU claim data information into multiple SIU systems
• Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
• Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed
• 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
• Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process
• Researches and responds to complex customer communications, concerns, conflicts or issues

Benefits

• National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law.
• Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
• In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at [phone].

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees