SIU Field Investigator - GA
Allstate Insurance Company, New York, NY, United States
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 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. The team is seeking an experienced SIU Investigator to support a territory focused primarily in the Metro Atlanta, GA area. Prior SIU experience within an insurance carrier is preferred. This role will primarily manage Auto SIU investigations, with additional exposure to Homeowners and Specialty lines. The ideal candidate brings strong investigative skills, sound judgment, and the ability to work independently while contributing to a high‑performing SIU team.
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
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Skills
Analytical Thinking
Auto Insurance Claims
Claims Processing
Claims Review
Crash Investigations
Critical Thinking
Decision Making
Documentations
Evidence Gathering
Fraud Investigations
Information Collection
Insurance Claims
Insurance Claims Investigations
Insurance Fraud Investigations
Insurance Investigation
Investigative Skills
Researching
Special Investigations
Witness Interviewing
Compensation Base compensation offered for this role is:
SIU Field Adjuster Cons II: $62,100 - $105,300
SIU Field Adjuster Sr Cons I: $68,500 - $117,700
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.
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 (336) 435-2000.
For jobs in San Francisco, please click here for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click here for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click here. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click here. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
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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. The team is seeking an experienced SIU Investigator to support a territory focused primarily in the Metro Atlanta, GA area. Prior SIU experience within an insurance carrier is preferred. This role will primarily manage Auto SIU investigations, with additional exposure to Homeowners and Specialty lines. The ideal candidate brings strong investigative skills, sound judgment, and the ability to work independently while contributing to a high‑performing SIU team.
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
#LI-KR1
Skills
Analytical Thinking
Auto Insurance Claims
Claims Processing
Claims Review
Crash Investigations
Critical Thinking
Decision Making
Documentations
Evidence Gathering
Fraud Investigations
Information Collection
Insurance Claims
Insurance Claims Investigations
Insurance Fraud Investigations
Insurance Investigation
Investigative Skills
Researching
Special Investigations
Witness Interviewing
Compensation Base compensation offered for this role is:
SIU Field Adjuster Cons II: $62,100 - $105,300
SIU Field Adjuster Sr Cons I: $68,500 - $117,700
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.
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 (336) 435-2000.
For jobs in San Francisco, please click here for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click here for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click here. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click here. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
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