SIU Field Investigator — Fraud & Complex Claims

Allstate; Chicago (IL); On-site; USD 62,000 - 125,000; Full time

Job summary

National General Holdings Corp., part of The Allstate Corporation, is seeking an experienced SIU Investigator to conduct complex fraud investigations across Auto, Homeowners, and Specialty Lines. This field-based role supports a territory within approximately a three-hour radius of Chicago, IL.

Prior investigative experience and SIU background are highly valued for identifying and resolving suspicious claims.

Qualifications

• Prior investigative experience required with SIU background preferred.
• Experience handling complex auto, home, and specialty lines claims.
• Ability to conduct field investigations within territory near Chicago, IL.

Responsibilities

• Makes claim decisions regarding complex and occasionally highly complex investigations, and pursues restitution.
• Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues.
• Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads.
• Conducts thorough investigations of complex and occasionally highly complex multi-discipline claims and ECL claims that are potentially fraudulent to determine if payment is warranted.
• Utilizes analytic tools or SIU field intelligence to identify complex and occasionally 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.
• Enters SIU claim data information into multiple SIU systems.
• Updates files with investigation outcome, and when no fraud, or if insufficient evidence is found, returns file to MCO for further handling and settlement.
• Reviews investigations with fraud outcomes to validate whether denial is appropriate.
• Conducts complex and occasionally highly complex online data application searches, research, and evaluation

Skills

Analytical thinking

Claims processing

Fraud investigations

Information collection

Researching

Surveillance operations

Surveillance techniques

Time management

Witness interviewing

Job description

National General Holdings Corp., part of The Allstate Corporation, is seeking an experienced SIU Investigator to conduct complex fraud investigations across Auto, Homeowners, and Specialty Lines. This field-based role supports a territory within approximately a three-hour radius of Chicago, IL.

Prior investigative experience and SIU background are highly valued for identifying and resolving suspicious claims.