SIU Field Investigator

Allstate • Sacramento, CA

5d • Onsite

About The Position

National General, part of The Allstate Corporation, is hiring an SIU Field Investigator for its Special Investigations Unit Fraud Investigation Department in Northern California. This field-based role conducts in-depth investigations related to potentially fraudulent insurance claims. The preferred candidate will be based in or near San Francisco, Oakland, San Jose, Sacramento, or surrounding commuting areas and will service the broader region.

The investigator examines complex claim information, identifies potential fraud indicators, gathers and evaluates evidence, and reaches well-supported conclusions about whether payment is warranted. Work includes online research, site inspections, scene investigations, and surveillance as needed, along with validating information, following up on leads, documenting findings, and addressing complex customer communications. The role also enters information into multiple SIU systems, reviews investigation outcomes, and returns claims to the market claim office for further handling when fraud is not established or evidence is insufficient.

The position offers base compensation of $60,000–$87,400 for SIU Consultant I or $62,100–$92,700 for SIU Consultant II, based on experience and qualifications. Total compensation may also include incentive pay if applicable. Allstate provides eligible employees with a technology setup that includes a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home receive a monthly connectivity reimbursement and must have a private, distraction-free workspace and reliable internet with minimum speeds of 50 MB download and 5 MB upload.

Requirements

• Candidates must be authorized to work in the United States; the company does not sponsor individuals for work visas.

Nice To Haves

• Strong background in investigations and insurance.
• Experience or skills in analytical thinking, critical thinking, decision-making, documentation, evidence gathering, fraud investigations, insurance claims investigations, interviewing, investigative work, problem analysis, special investigations, and time management.
• Based in or around San Francisco, Oakland, San Jose, Sacramento, or surrounding commuting areas.

Responsibilities

• Enter SIU claim data into multiple SIU systems.
• Review investigations with fraud outcomes to validate whether denial is appropriate.
• Update files with investigation outcomes and return files to the market claim office for further handling and settlement when no fraud or insufficient evidence is found.
• Conduct complex online data application searches, research, and evaluation.
• Conduct complex site inspections, including at body shops, medical clinics, and loss locations.
• Investigate complex potentially fraudulent claims to determine whether payment is warranted, including scene investigations and surveillance as needed.
• Validate information provided and obtained during investigations and follow up on all possible leads.
• Summarize documents and enter claim system notes documenting the file, evaluations, and decision-making process.
• Use analytic tools or SIU field intelligence to identify complex claims for investigation or support evidence of fraud and damages.
• Research and respond to complex customer communications, concerns, conflicts, or issues.

Benefits

• Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse.
• Monthly connectivity reimbursement for employees eligible to work from home.

What This Job Offers

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