SIU Field Investigator: Complex Fraud Expert

National General; Little Rock (AR); On-site; USD 62,000 - 105,000; Full time

Benefits offered by this job

Tech setup provided (laptop, monitors,

Monthly connectivity reimbursement

Job summary

National General is seeking an experienced Special Investigative Unit Investigator to conduct highly complex fraud investigations across Auto, Homeowners, and Specialty Lines in Arkansas. This role requires prior investigative experience, SIU background preferred, and the ability to work field-based across multiple lines of business.

You will analyze medical notes, bills, and property damage, conduct witness interviews, and determine if fraud is substantiated.

Qualifications

• Analytical mindset for complex fraud investigations.
• Experience with multi-discipline claims and SIU background preferred.
• Ability to conduct scene investigations, witness interviews, and data research.

Responsibilities

• Oversees file quality Investigative Consultant.
• Makes claim decisions regarding highly complex investigations, and pursues restitution.
• Manages vendor relationship and oversees vendor performance.
• Conducts highly complex online data application searches, research, and evaluation.
• Conducts thorough investigations of highly complex, multi-discipline claims and excess coverage liability (ECL) claims that are potentially fraudulent to determine if payment is warranted.
• Reviews investigations with fraud outcomes to validate whether denial is appropriate.
• Conducts highly complex site inspections, including body shops, medical clinics, loss locations, etc.
• Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues.
• Utilizes analytic tools or SIU field intelligence to identify highly complex claims for investigation and/or for support in the evidence of the fraud and damages.
• Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision making process

Skills

Analytical Thinking

Crime Scene Investigations

Critical Thinking

Decision Making

Fraud Investigations

Investigative Interviewing

Law Enforcement

Special Investigations

Surveillance

Time Management

Job description

National General is seeking an experienced Special Investigative Unit Investigator to conduct highly complex fraud investigations across Auto, Homeowners, and Specialty Lines in Arkansas. This role requires prior investigative experience, SIU background preferred, and the ability to work field-based across multiple lines of business.

You will analyze medical notes, bills, and property damage, conduct witness interviews, and determine if fraud is substantiated.