SIU Investigator Senior Consultant II - National General

National General; Miami (FL); Remote; USD 66,000 - 139,000; Full time

Job summary

A leading insurance company is looking for a Senior Consultant for their Special Investigation Unit in Florida. The role involves investigating complex fraud cases and requires analytical skills, a bachelor's degree, and 3+ years of relevant experience. This fully remote position is suited for candidates located in specific counties in Florida.

Qualifications

• 4+ years of experience preferred in insurance or investigations.
• Must reside in Orange, Osceola, Seminole, or Volusia counties.
• Strong analytical and investigative skills are crucial.

Responsibilities

• Conducts thorough investigations of complex claims.
• Utilizes analytic tools for identifying claims.
• Manages and resolves complex customer communications.

Skills

Analytical skills

Investigation skills

Communication

Education

4 year Bachelor's Degree

Job description

SIU Investigator Senior Consultant II page is loaded

SIU Investigator Senior Consultant II

Apply remote type Fully Remote Location Specific locations USA - FL (Remote) FL - Orlando time type Full time posted on Posted 2 Days Ago job requisition id R18461

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

This job is responsible for investigating and analyzing highly complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This 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 individual 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; (4) and 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.

This is a field-based, location-specific role based in the Orlando metropolitan area. The ideal candidate will reside in one of the following counties: Orange, Osceola, Seminole, or Volusia.

Key Responsibilities

• 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

• 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

• Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues

• Makes claim decisions regarding highly complex investigations, and pursues restitution

• Reviews investigations with fraud outcomes to validate whether denial is appropriate

• Conducts highly complex site inspections, including body shops, medical clinics, loss locations etc.

• Conducts highly complex online data application searches, research, and evaluation

• Manages vendor relationship and oversees vendor performance

• Oversees file quality Investigative Consultant

Education

• 4 year Bachelors Degree (Preferred)

Experience

• 3 or more years of experience (Preferred)

Supervisory Responsibilities

• This job does not have supervisory duties.

Compensation

Base compensation offered for this role is $66,800 - $138,600 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.) as applicable for the role.

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.

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].

Welcome

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 16 million 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.

It’s easy to search and apply for a new opportunity with Allstate. Simply use the links below to identify the openings that interest you.