SIU Field Investigator – Jackson, MS
Jackson, MO - USA
Job Summary
ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans 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 click the submit button and follow the next steps. Unless specifically stated otherwise 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.
Were 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 youre passionate about protecting customers and the integrity of the claims process wed 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.
About Company
VetJobs & Military Spouse Jobs works with our employer partners to source, screen, and move qualified talent to the desktops of the Hiring Managers. Application is a two-step process, so please be patient with the team. When you submit to a position on our site your information will ... View more