SIU Field Investigator - National General

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 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.

Job Description

The Special Investigative Unit Senior Consultant II is responsible for investigating and analyzing highly complex, multi-discipline coverage and claims that have been referred to the Special Investigative Unit (SIU) for potential fraud. The role typically handles a combination of complex attorney represented and unrepresented claims and large or significant losses and claims involving highly complex extra-contractual liability, large fire and property losses where suspicious activity has been identified. The position performs a thorough investigation including (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills and property damage; and (4) conducting witness interviews and social media searches. The individual reviews whether fraud can be substantiated and supports a lawsuit. At this level, the individual is expected to handle the most complex or specialized claims or claims involving significant dollar exposure or customers.

We are seeking an experienced SIU Investigator to join our growing team! This field-based role supports the Arkansas state territory and is responsible for conducting complex fraud investigations across multiple lines of business, including Auto, Homeowners, and Specialty Lines. Prior investigative experience is required, with a strong preference for candidates with an SIU background and demonstrated experience identifying, investigating, and resolving suspicious claims.

Key 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

Supervisory Responsibilities

This job does not have supervisory duties.

As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team. By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply.

Skills

Analytical Thinking, Crime Scene Investigations, Critical Thinking, Decision Making, Fraud Investigations, Investigative Interviewing, Law Enforcement, Special Investigations, Surveillance, Time Management

Compensation

Base compensation offered for this role is:

• Special Investigative Unit Consultant II: $62,100 - $105,300
• Special Investigative Unit Sr Consultant I: $68,500- $117,700
• Annually and is based on experience and qualifications. 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.

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.

Effective July 1, 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.

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.

Benefits

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 [phone].

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.

When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.