Allstate · 11 hours ago

Position SIU NY/New England PIP Singular Investigator

Remote - Remote

Full-time

Remote

Mid Level

$56K/yr - $100K/yr

3+ years exp

Maximize your interview chances

BankingFinance

No H1B

Insider Connection @Allstate

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Researches and responds to complex customer communications, concerns, conflicts or issues

Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process

Utilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damages

Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted

Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads

Conducts complex online data application searches, research, and evaluation

Reviews investigations with fraud outcomes to validate whether denial is appropriate

Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement

Enters SIU claim data information into multiple SIU systems

Makes claim decisions regarding complex investigations, and pursues restitution

This role handles claims in New York and New England

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Evidence GatheringInsurance Fraud InvestigationsSpecial InvestigationsClaims HandlingCasualty InsuranceSIU ExperiencePIP ExperienceMED PAY ExperienceOnline Data Application Searches