SIU Field Investigator - GA

Allstate • Atlanta, GA

1d • $62,100 - $117,700

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. The team is seeking an experienced SIU Investigator to support a territory focused primarily in the Metro Atlanta, GA area. Prior SIU experience within a insurance carrier is preferred. This role will primarily manage Auto SIU investigations, with additional exposure to Homeowners and Specialty lines. The ideal candidate brings strong investigative skills, sound judgment, and the ability to work independently while contributing to a high‑performing SIU team.

Requirements

• Analytical Thinking
• Auto Insurance Claims
• Claims Processing
• Claims Review
• Crash Investigations
• Critical Thinking
• Decision Making
• Documentations
• Evidence Gathering
• Fraud Investigations
• Information Collection
• Insurance Claims
• Insurance Claims Investigations
• Insurance Fraud Investigations
• Insurance Investigation
• Investigative Skills
• Researching
• Special Investigations
• Witness Interviewing

Nice To Haves

• Prior SIU experience within a insurance carrier is preferred.
• This role will primarily manage Auto SIU investigations, with additional exposure to Homeowners and Specialty lines.
• The ideal candidate brings strong investigative skills, sound judgment, and the ability to work independently while contributing to a high‑performing SIU team.

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

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees