Remote SIU Field Investigator – Fraud Claims

Allstate Corporation; California; Hybrid; USD 60,000 - 93,000; Full time

Benefits offered by this job

Technology setup (laptop, monitors, •-

Connectivity reimbursement for home‑of

Reliable internet with minimum speeds

Private dedicated workspace

Job summary

National General Holdings Corp. is hiring an SIU Field Investigator for Northern California. The role covers field investigations of complex insurance claims to uncover potential fraud, using interviewing, data analysis, and site visits to form well-supported conclusions.

The position requires strong investigative experience and familiarity with insurance claim processes. It is field-based, serving San Francisco Bay Area and surrounding regions, in the SIU Fraud Investigation Department.

Qualifications

• Analytical thinking and problem-solving skills for complex investigations.
• Strong interviewing and evidence-gathering capabilities.
• Experience with insurance claim investigations and fraud indicators.

Responsibilities

• Enters SIU claim data into multiple SIU systems.
• Reviews investigations with fraud outcomes to validate denial appropriateness.
• Updates files with investigation outcomes and routes non-fraud cases back to market claim office.
• Conducts online data searches, research, and evaluation.
• Performs site inspections at loss locations, body shops, medical clinics.
• Conducts thorough investigations of potentially fraudulent claims, including scene investigations.
• Validates information and follows up on all leads.
• Summarizes documents and logs notes in claim systems, documenting the process.
• Uses SIU tools to identify complex claims for investigation or evidence of fraud.
• Responds to complex customer communications and conflicts.

Skills

Analytical Thinking

Critical Thinking

Decision Making

Documentations

Evidence Gathering

Fraud Investigations

Insurance Claims Investigations

Interviewing

Investigative Skills

Problem Analysis

Special Investigations

Time Management

Job description

National General Holdings Corp. is hiring an SIU Field Investigator for Northern California. The role covers field investigations of complex insurance claims to uncover potential fraud, using interviewing, data analysis, and site visits to form well-supported conclusions.

The position requires strong investigative experience and familiarity with insurance claim processes. It is field-based, serving San Francisco Bay Area and surrounding regions, in the SIU Fraud Investigation Department.