SIU Field Investigator

National General Management Corp; California; Híbrido; USD 60.000 - 93.000; Tempo integral

Benefícios oferecidos por esta vaga

Technology setup (laptop, monitors, •-

Connectivity reimbursement for home‑of

Reliable internet with minimum speeds

Private dedicated workspace

Resumo da vaga

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.

Qualificações

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

Responsabilidades

• 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.

Conhecimentos

Analytical Thinking

Critical Thinking

Decision Making

Documentations

Evidence Gathering

Fraud Investigations

Insurance Claims Investigations

Interviewing

Investigative Skills

Problem Analysis

Special Investigations

Time Management

Descrição da vaga

SIU Field Investigator – Northern California

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.

Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator, you’ll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You’ll use critical thinking, effective interviewing, research, and analytical skills to connect details and resolve questions that may not have an obvious answer. Whether analyzing information or conducting investigative work in the field, you’ll play an important role in helping ensure claims are handled appropriately while protecting customers and the business from potential fraud.

We're looking for a SIU Field Investigator to join our team in Northern California. This is a field-based role within the SIU (Special Investigations Unit) Fraud Investigation Department, responsible for conducting in-depth fraud investigations related to insurance claims. The preferred candidate should be based in or around SanFrancisco, Oakland, SanJose, Sacramento, or the surrounding commuting areas, as they will be expected to service the broader region. The ideal candidate will have a strong background in both investigations and insurance.

Key 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 market claim office 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

Skills

• Analytical Thinking
• Critical Thinking
• Decision Making
• Documentations
• Evidence Gathering
• Fraud Investigations
• Insurance Claims Investigations
• Interviewing
• Investigative Skills
• Problem Analysis
• Special Investigations
• Time Management

Compensation

Compensation Base compensation offered for this role is: SIU Consultant I: $60,000 - $87,400 SIU Consultant II: $62,100 - $92,700.

Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.

Benefits

• Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse.
• Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.
• Reliable internet is required, with minimum speeds of 50MB download and 5MB upload.
• Employees must have a dedicated, private workspace free from distractions, along with appropriate desk and seating.

Why Join Us

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Equal Opportunity & Inclusion Statement

Effective July1,2014, under Indiana House Enrolled Act (HEA)1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

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 (336)435‑2000.

Company Overview

National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City.

National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products.

We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century‑National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

About Us

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 16million 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.