SIU Field Investigator
Wells Media Group, Indiana, PA, United States
Job Description
This job is responsible for investigating and analyzing 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 moderate to complex losses, in which 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; and (4) conducting witness interviews and social media searches. The individual conducts surveillance on property and/or creates scene reconstructions on some investigations and reviews whether fraud can be substantiated and supports a lawsuit. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team.
National General Insurance is currently seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in New York. This is a field-based, location‑specific position, and the ideal candidate will reside in or near Nassau County, Suffolk County, Brooklyn, Queens, or the surrounding areas.
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 MCO 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
Supervisory Responsibilities
This job does not have supervisory duties.
Skills
Claims Management
Claims Processing
Critical Thinking
Fraud Investigation
Information Collection
Insurance Claim Handling
Insurance Claims Management
Insurance Investigation
Investigative Interviewing
Investigative Skills
Compensation Base compensation offered for this role is:
SIU Cons II: $62,100‒$99,000
SIU Sr Cons I: $68,500‒$110,900
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.
Equal Employment Opportunity National General Holdings Corp. is an Equal Opportunity 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.
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National General Insurance is currently seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in New York. This is a field-based, location‑specific position, and the ideal candidate will reside in or near Nassau County, Suffolk County, Brooklyn, Queens, or the surrounding areas.
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 MCO 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
Supervisory Responsibilities
This job does not have supervisory duties.
Skills
Claims Management
Claims Processing
Critical Thinking
Fraud Investigation
Information Collection
Insurance Claim Handling
Insurance Claims Management
Insurance Investigation
Investigative Interviewing
Investigative Skills
Compensation Base compensation offered for this role is:
SIU Cons II: $62,100‒$99,000
SIU Sr Cons I: $68,500‒$110,900
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.
Equal Employment Opportunity National General Holdings Corp. is an Equal Opportunity 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.
#J-18808-Ljbffr