Allstate · 9 hours ago

SIU NY Complex PIP 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

Reviews investigations with fraud outcomes to validate whether denial is appropriate

Conducts complex NY No Fault PIP investigations to determine if there is fraud

Conducts complex online data application searches, research, and evaluation

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

Enters SIU claim data information into multiple SIU systems

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

Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed

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

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

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

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.

Fraud InvestigationsPIP Casualty ExperienceEvidence GatheringInsurance Claim HandlingCasualty InsuranceCustomer CentricityDigital LiteracyInclusive Leadership