SIU Field Investigator

Summary

SIU Field InvestigatorNational 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.Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator, you'll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You'll 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, you'll play an important role in helping ensure claims are handled appropriately while protecting customers and the business from potential fraud.We're looking for a SIU Field Investigator to join our team in Northern California. This is a field-based role within the SIU (Special Investigations Unit) Fraud Investigation Department, responsible for conducting in-depth fraud investigations related to insurance claims. The preferred candidate should be based in or around San Francisco, Oakland, San Jose, Sacramento, or the surrounding commuting areas, as they will be expected to service the broader region. The ideal candidate will have a strong background in both investigations and insurance.Key ResponsibilitiesEnters SIU claim data information into multiple SIU systemsReviews investigations with fraud outcomes to validate whether denial is appropriateUpdates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to market claim office for further handling and settlementConducts complex online data application searches, research, and evaluationConducts 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 neededValidates that the information provided and obtained through investigation is true and accurate and follows up on all possible leadsSummarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making processUtilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damagesResearches and responds to complex customer communications, concerns, conflicts or issuesSkills: Analytical Thinking, Critical Thinking, Decision Making, Documentations, Evidence Gathering, Fraud Investigations, Insurance Claims Investigations, Interviewing, Investigative Skills, Problem Analysis, Special Investigations, Time ManagementCompensation: Base compensation offered for this role is: SIU Consultant I: $60,000 - $87,400 SIU Consultant II: $62,100 - $92,700 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.Joining our team isn't just a job — it's 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.

Job Description

SIU Field InvestigatorNational 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.Put your investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Field Investigator, you'll conduct detailed investigations, analyze claim information, identify potential fraud indicators, and gather the information needed to reach well-supported conclusions. You'll 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, you'll play an important role in helping ensure claims are handled appropriately while protecting customers and the business from potential fraud.We're looking for a SIU Field Investigator to join our team in Northern California. This is a field-based role within the SIU (Special Investigations Unit) Fraud Investigation Department, responsible for conducting in-depth fraud investigations related to insurance claims. The preferred candidate should be based in or around San Francisco, Oakland, San Jose, Sacramento, or the surrounding commuting areas, as they will be expected to service the broader region. The ideal candidate will have a strong background in both investigations and insurance.Key ResponsibilitiesEnters SIU claim data information into multiple SIU systemsReviews investigations with fraud outcomes to validate whether denial is appropriateUpdates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to market claim office for further handling and settlementConducts complex online data application searches, research, and evaluationConducts 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 neededValidates that the information provided and obtained through investigation is true and accurate and follows up on all possible leadsSummarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making processUtilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damagesResearches and responds to complex customer communications, concerns, conflicts or issuesSkills: Analytical Thinking, Critical Thinking, Decision Making, Documentations, Evidence Gathering, Fraud Investigations, Insurance Claims Investigations, Interviewing, Investigative Skills, Problem Analysis, Special Investigations, Time ManagementCompensation: Base compensation offered for this role is: SIU Consultant I: $60,000 - $87,400 SIU Consultant II: $62,100 - $92,700 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.Joining our team isn't just a job — it's 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.