Field SIU Investigation AutoCasualty

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.

We are seeking an experienced Field SIU Investigator to handle a variety of field-based investigative claims across multiple lines including personal auto and casualty. The ideal candidate will have direct SIU experience working for an insurance carrier along with a strong background in auto or casualty investigations or a solid foundation in law enforcement field investigations. This role requires someone who is comfortable working independently in the field conducting thorough and detailed investigations and adapting to changing priorities. Strong attention to detail investigative curiosity and the ability to stay organized are essential for success. Candidates must reside within a one-hour commute of Charlotte North Carolina or be located in Albemarle NC or Monroe NC.

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

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.

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Skills

Analytical Thinking Auto Insurance Claims Bodily Injury Claims Evidence Gathering Fraud Investigations Insurance Claims Investigations Organizing Personal Injury Claims Prioritization

Compensation

Base compensation offered for this role is:
SIU Investigator Cons II: $62100.00 - 92700.00/salary
Compensation is based on experience and qualifications. Total compensation for this role may include additional components such as incentive pay (for example commission or bonus) if applicable.

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.

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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.