National General · 17 hours ago
SIU Field Investigator - National General
Tennessee, United States
Full-time
Hybrid
Entry, Mid Level
$62K/yr - $104K/yr
2+ years expNational General is part of The Allstate Corporation, providing various insurance products. The SIU Field Investigator is responsible for investigating complex claims for potential fraud, conducting thorough investigations, and providing guidance to the team.
FinanceFinancial ServicesInsurance
No H1B
Responsibilities
Enters SIU claim data information into multiple SIU systems
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
Conducts complex online data application searches, research, and evaluation
Conducts 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 needed
Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
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
Researches and responds to complex customer communications, concerns, conflicts or issues
Qualification
Required
Investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud
Handling a combination of complex attorney represented and unrepresented claims and moderate to complex losses
Conducting background searches, scene investigations, and clinic inspections
Taking recorded statements
Reviewing and analyzing medical notes, bills, and property damage
Conducting witness interviews and social media searches
Conducting surveillance on property and/or creating scene reconstructions
Providing work guidance and direction to less senior employees
Providing mentoring and coaching to the team
Entering SIU claim data information into multiple SIU systems
Reviewing investigations with fraud outcomes to validate whether denial is appropriate
Updating files with investigation outcome
Conducting complex online data application searches, research, and evaluation
Conducting complex site inspections, including body shops, medical clinics, loss locations
Validating that the information provided and obtained through investigation is true and accurate
Summarizing documents and entering into claim system notes
Utilizing analytic tools or SIU field intelligence to identify complex claims for investigation
Researching and responding to complex customer communications, concerns, conflicts or issues
Preferred
2 or more years of experience
Company
National General
As part of the Allstate family of companies, National General, an Allstate company, is one of the largest insurers in the United States.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$189.99M2020-07-07Acquired
2014-02-21Undisclosed· $189.99M
Leadership Team
Denise Weber
Executive Asst. to CEO
Patrick Macellaro
Chief Financial Officer
Recent News
2025-08-04
Research and Markets
2025-06-26
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