SIU Field Investigator - Jackson, MS

AllstateJackson, MS
$68,500 - $104,100Remote

About The Position

National General, a part of The Allstate Corporation, is seeking an experienced SIU 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 ideal candidate will have extensive Special Investigations Unit (SIU) experience within the insurance industry, along with a solid claims background. This role is heavily focused on Auto Bodily Injury (BI) investigations and also requires experience supporting Homeowners claims investigations, including weather-related losses such as roof, wind, and flood damage. The company is looking for a highly analytical and detail-oriented professional who enjoys conducting complex investigations, identifying fraud indicators, gathering critical facts, and delivering meaningful results.

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
  • Must possess authorization to work in the United States
  • Individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
  • Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team.

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 employees eligible to work from home
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