SIU Field Investigator Jackson, MS
Msccn
SIU Field Investigator
Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please follow the next steps. This role is "On-Site" at the location detailed in the job post.
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: As a SIU Field Investigator, responsibilities include investigating suspected fraud, conducting detailed case reviews, and handling complex BI fraud investigations, including staged accidents, claim misrepresentation, and organized fraud schemes. The successful candidate will possess strong analytical and investigative skills, excellent judgment, and the ability to manage high-impact cases from start to finish.
We are seeking an experienced SIU Investigator to join our team! This position supports a territory spanning Jackson, Mississippi; New Orleans, Louisiana; and Mobile, Alabama, with a strong preference for candidates located in or near Jackson, MS to effectively support the region.
The ideal candidate will bring extensive Special Investigations Unit (SIU) experience within the insurance industry, along with a solid claims background. This role is heavily focused on Auto Bodily Injury (BI) investigations and also requires experience supporting Homeowners claims investigations, including weather-related losses such as roof, wind, and flood damage.
We're looking for a highly analytical and detail-oriented professional who enjoys conducting complex investigations, identifying fraud indicators, gathering critical facts, and delivering meaningful results. If you're passionate about protecting customers and the integrity of the claims process, we'd love to hear from you.
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.
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