SIU Field Investigator Chicago, IL

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

Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator youll conduct detailed investigations analyze claim information identify potential fraud indicators and gather the information needed to reach well-supported conclusions. Youll use critical thinking effective interviewing research and analytical skills to connect details and resolve questions that may not have an obvious answer. Whether analyzing information or conducting investigative work in the field youll play an important role in helping ensure claims are handled appropriately while protecting customers and the business from potential fraud.

We are seeking an experienced SIU Investigator to join our growing team! This role is responsible for conducting complex fraud investigations across multiple lines of business including Auto Homeowners and Specialty Lines. This is a field-based position supporting a territory within approximately a three-hour radius of Chicago IL. Prior investigative experience is required with a strong preference for candidates who have a Special Investigations Unit (SIU) background and a proven track record of identifying investigating and resolving suspicious claims.

Key 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

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.

#LI-KR1

Skills

Analytical Thinking Claims Processing Collision Investigations Collision Reconstruction Critical Thinking Decision Making Evidence Gathering Fraud Investigations Information Collection Insurance Claims Investigations Insurance Investigation Researching Special Investigations Surveillance Operations Surveillance Techniques Time Management Witness Interviewing

Compensation

Base compensation offered for this role is:

Special Investigative Unit Consultant II: $62100 - $105300
Special Investigative Unit Sr Consultant I: $68500- $117700
Special Investigative Unit Sr Consultant II: $70100 - $124500

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 isnt just a job its 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.

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 Companys policy to employ the best qualified individuals available for all jobs. Therefore any discriminatory action taken on account of an employees 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 employees 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.

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 the event you need assistance or accommodation in completing your online application please contact NGIC main office by phone at .

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.