SIU Field Investigator

Allstate

8d • $62,100 - $104,100 • Remote

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 looking to add an SIU Field Investigator to our team in the Memphis, TN area! This is a remote role with field work throughout the Memphis, TN territory. If you bring prior SIU insurance carrier experience or a background in insurance investigations, we’d love to connect with you. Apply today and join our team!

Requirements

• 2 or more years of experience (Preferred)

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.
• 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].
• At Allstate, we work hard to help people live a good life every day.
• Allstaters are dedicated to serving clients, customers, and communities, which allows employees to find meaning and value in their work.
• Allstate offers an environment that fosters innovative thinking where you’ll be able to explore your ideas and feel proud of the work you do.
• Allstate helps protect nearly 16 million households with auto, home, life, and retirement products.
• We want every professional connected to Allstate to be committed to giving our customers the best and that means finding the best talent.
• We want you to be our next great addition.

What This Job Offers

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