SIU Field Investigator

This is a fully remote position, open to applicants in Louisiana, +1 more state.

📋 Description

• Investigate potential insurance fraud and perform thorough case evaluations.

• Manage intricate Auto Bodily Injury fraud investigations, encompassing staged accidents, claim misrepresentation, and organized fraud schemes.

• Assist in investigations related to Homeowners claims, focusing on roof, wind, flood, and other weather-related damages.

• Input SIU claim information into various SIU platforms.

• Review investigations with fraud outcomes to determine the appropriateness of denials.

• Update case files with investigation results and return them to MCO for further processing when fraud is not confirmed or evidence is lacking.

• Perform advanced online data searches, research, and assessments.

• Execute detailed site inspections at body shops, medical facilities, loss sites, and similar locations.

• Conduct scene investigations and surveillance as necessary.

• Verify information gathered through investigations and pursue potential leads.

• Summarize documentation and enter notes in the claim system to record evaluations and decisions.

• Utilize analytical tools and SIU field intelligence to pinpoint complex claims and substantiate fraud and damages evidence.

• Research and address intricate customer communications, concerns, disputes, and issues.

⛳️ Requirements

• Proven SIU Investigator with multiple years of experience in a Special Investigations Unit at an insurance carrier.

• Solid background in claims management.

• Strong analytical and investigative capabilities.

• Excellent decision-making skills.

• Ability to oversee high-impact cases from inception to resolution.

• Experience with Auto Bodily Injury investigations.

• Background in supporting Homeowners claims, including investigations related to roof, wind, and flood damage.

• Critical thinking skills.

• Proficient in decision making.

• Skilled in evidence collection.

• Expertise in fraud investigations.

• Knowledge of insurance claims processes.

• Investigative skills.

• Candidates must have authorization to work in the United States.

• Applicants holding an active insurance license must terminate all existing appointments prior to onboarding and cannot maintain outside appointments during employment.

• Applicants with a resident producer license seeking an adjuster position must relinquish that license when instructed.

• A work-from-home setup requires a dedicated private workspace, suitable desk and seating, and reliable internet with minimum speeds of 50 MB download and 5 MB upload.

🏝️ Benefits

• Comprehensive technology package from Allstate, including a laptop, monitors, headset, keyboard, and mouse.

• Monthly reimbursement for connectivity for employees eligible to work from home.

• Remote work arrangement available.

• Equal Opportunity employment environment.

• Assistance with workplace accommodations.